Institucionparaancianoselparaisodevillalba

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

1353 Issued in PR

Legal business name

INSTITUCIONPARAANCIANOSELPARAISODEVILLALBA

Practice address

PMB 279 Box 6004
Carr 150 KM 9.9 Bo Caonillas Abajo Sector Palmasola
Villalba, PR 00766

Phone

(787) 212-3576

NPI assigned

Oct 5, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Javier Ruemmele, MURSING HOME DIRECTO

Title

Director

Phone

(787) 212-3576

Specialties & licenses 1

Addresses

Other names 1

• Elparaisodevillalba Former legal business name

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1720330426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 279 PO BOX 6004",
            "address_2": "CARR 150 KM 9.9 BO CAONILLAS ABAJO SECTOR PALMASOLA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007666004",
            "telephone_number": "787-212-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 279 BOX 6004",
            "address_2": "CARR 150 KM 9.9 BO CAONILLAS ABAJO SECTOR PALMASOLA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "00766",
            "telephone_number": "787-212-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUCIONPARAANCIANOSELPARAISODEVILLALBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "RUEMMELE",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-212-3576",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MURSING HOME DIRECTO"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "PR",
            "license": "1353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elparaisodevillalba",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ronaldo J Hernandez Ortiz Sr.
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• Martin Hernandez Sr., MD
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• Carmen J. Laboy, D.M.D.

• Adult Care Home Facility in Villalba, PR
• Providers in Villalba, PR by specialty
• Adult Care Home Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.