Whalio Doctors

NPI 1114129889

Hogar Divino Nino Jesus

Organisation Psychiatric Residential Treatment Facility Toa Baja, PR

Practice location

Address
Carretera 854 Km 3.5, Toa Baja, PR 00951
Phone
(787) 794-0020
Fax
(787) 794-3792
Mailing address
P O Box 2464, Toa Baja, PR 00951-2662

Authorised official

Name
Carlos J Pacheco
Title
Administrative Director
Phone
(787) 794-0020

Registered specialties

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X Licence CDTD0174 (PR)

Registry record

NPI
1114129889
Entity type
Organization
NPI issued
4 Jun 2007
Record last updated
22 Aug 2020

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.