Provider Demographics
NPI:1689473787
Name:HOGAR BRISAS DEL CIELO L.L.C.
Entity type:Organization
Organization Name:HOGAR BRISAS DEL CIELO L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTORA
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILDA
Authorized Official - Middle Name:RAQUEL
Authorized Official - Last Name:RAMOS RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-217-5297
Mailing Address - Street 1:D7 URB LA RIVIERA
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-2723
Mailing Address - Country:US
Mailing Address - Phone:787-217-5297
Mailing Address - Fax:
Practice Address - Street 1:CALLE AMAPOLA #282
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714
Practice Address - Country:US
Practice Address - Phone:787-217-5297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home