Department of Veterans Affairs

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

4304979 Issued in PR

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

Bo. Lomas
Carr 186 KM 4 HM 0
Canovanas, PR 00729-9782

Phone

(787) 368-8596

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Yaritza Gonzalez-Colon

Title

LPN

Phone

(787) 368-8596

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1508035155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10000",
            "address_2": "PMB 147",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290011",
            "telephone_number": "787-368-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. LOMAS",
            "address_2": "CARR 186 KM 4 HM 0",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299782",
            "telephone_number": "787-368-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ-COLON",
        "authorized_official_first_name": "YARITZA",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "787-368-8596",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "PR",
            "license": "4304979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Facility/Intermediate Care Facility in Canovanas, PR
• Providers in Canovanas, PR by specialty
• Nursing Facility/Intermediate Care Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.