Organization Active NPI

Hatillo Nursing Home Inc

  • Nursing Facility/Intermediate Care Facility
  • Hatillo, PR
National Provider Identifier
1235392846
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
16A Issued in PR
Legal business name
HATILLO NURSING HOME INC
Practice address
Carr #487 KM 0.3
Hatillo, PR 00659
Phone
(787) 262-2792
NPI assigned
Jul 3, 2008
Organization subpart
Yes
Parent organization
HATILLO NURSING HOME, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jose Antonio Avevedo
Title
Administrator
Phone
(787) 262-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 16A PR Primary

Addresses

Primary practice location

Carr #487 KM 0.3
Hatillo, PR 00659

Mailing address

PO Box 1717
Hatillo, PR 00659
Phone (787) 262-2792

National Provider Directory

National Provider Directory
Part of
Hatillo Nursing Home Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1235392846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1717",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-262-2792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #487 KM 0.3",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-262-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATILLO NURSING HOME INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HATILLO NURSING HOME, INC.",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "AVEVEDO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-262-2792"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PR",
            "license": "16A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.