Havendetox PR LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HAVENDETOX PR LLC

Practice address

Carr, #2 KM 117.9 Int Solar 6
Bo. Ceiba Baja de Aguadilla
Aguadilla, PR 00603

Phone

(561) 461-3791

NPI assigned

Aug 11, 2025

Organization subpart

No

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

Authorized official

Name

Daniel Moore

Title

Authorized Official

Phone

(561) 461-3791

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1386529048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 10TH AVE N",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334613000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR, #2 KM 117.9 INT SOLAR 6",
            "address_2": "BO. CEIBA BAJA DE AGUADILLA",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "561-461-3791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENDETOX PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "561-461-3791"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Guevara Rivera, MD
• Karen Marie Gutierrez Concepcion, PSYD
• Rafael A Gutierrez, R.PH.
• Sharmaine Gutierrez, SLP
• Omar Guzman Arce
• HDT Corp
• HDT,Corp.
• Health Care Ambulance Corp
• Health Chiropractic Aguadilla, LLC
• Nelmaris Hernandez Barreto, PSYCHOLOGIST

• Substance Abuse Rehabilitation Facility in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Substance Abuse Rehabilitation Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; 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.