Provider Demographics
NPI:1144704818
Name:VIDA DE PAZ, LLC
Entity type:Organization
Organization Name:VIDA DE PAZ, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-601-1914
Mailing Address - Street 1:103 N TOWER RD STE 4
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:TX
Mailing Address - Zip Code:78516-2521
Mailing Address - Country:US
Mailing Address - Phone:956-601-1914
Mailing Address - Fax:
Practice Address - Street 1:103 N TOWER RD STE 4
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-2521
Practice Address - Country:US
Practice Address - Phone:956-601-1914
Practice Address - Fax:956-601-2031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based