Hogar Mi Sagrada Familia, Inc.

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

201 Issued in PR

Legal business name

HOGAR MI SAGRADA FAMILIA, INC.

Practice address

Bo. Camarones KM 7.2
Guaynabo, PR 00970

Phone

(787) 720-2330

Fax

(787) 720-2330

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Juan Luis Aviles Borrero

Title

President

Phone

(787) 406-7415

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1720276744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SANTA MARIA S/C 2000 ROAD 8177",
            "address_2": "SUITE 26 PMB 158",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009663762",
            "telephone_number": "787-720-2330",
            "fax_number": "787-720-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. CAMARONES KM 7.2",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00970",
            "telephone_number": "787-720-2330",
            "fax_number": "787-720-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOGAR MI SAGRADA FAMILIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "AVILES BORRERO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-406-7415"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "PR",
            "license": "201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Custodial Care Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.