Provider Demographics
NPI:1144458589
Name:SALUD FAMILIAR EN EL HOGAR, INFUSION CORP.
Entity type:Organization
Organization Name:SALUD FAMILIAR EN EL HOGAR, INFUSION CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:KUTCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-771-3011
Mailing Address - Street 1:PO BOX 19150
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-1150
Mailing Address - Country:US
Mailing Address - Phone:787-771-3011
Mailing Address - Fax:888-771-3022
Practice Address - Street 1:563 CALLE CABO H ALVERIO
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3725
Practice Address - Country:US
Practice Address - Phone:787-771-3011
Practice Address - Fax:888-771-3022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251F00000X, 261QI0500X, 332B00000X, 332BP3500X, 3336C0004X
PR11F27233336H0001X, 333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No3336C0004XSuppliersPharmacyCompounding Pharmacy
No3336H0001XSuppliersPharmacyHome Infusion Therapy Pharmacy