NPI 1083150262

Hogar Luz de Vida INC

Organisation Substance Abuse Rehabilitation Facility Mayaguez, PR

Practice location

Address: Carr 108 Km 10.9 Ramal 4430 Interior Bo Lequisamo, Mayaguez, PR 00681
Phone: (787) 833-1508
Mailing address: PO Box 219, Mayaguez, PR 00681-0219

Authorised official

Name: Walter Orlando Perez-Rodriguez
Title: Executive Director
Phone: (787) 410-0781

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 0348 (PR)

Other Substance Abuse Rehabilitation Facility providers in Puerto Rico →

Registry record

NPI: 1083150262
Entity type: Organization
NPI issued: 12 Jan 2017
Record last updated: 12 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.