Provider Demographics
NPI:1861890840
Name:LIFE HEALTH SOLUTIONS
Entity type:Organization
Organization Name:LIFE HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MANSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-652-4338
Mailing Address - Street 1:PO BOX 570
Mailing Address - Street 2:
Mailing Address - City:BOQUERON
Mailing Address - State:PR
Mailing Address - Zip Code:00622-0570
Mailing Address - Country:US
Mailing Address - Phone:787-652-4338
Mailing Address - Fax:
Practice Address - Street 1:SUITE A11 CARR #2 KM 156.5
Practice Address - Street 2:EDIF. MEDICAL EMPORIUM PLAZA II
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-9999
Practice Address - Country:US
Practice Address - Phone:787-652-4338
Practice Address - Fax:787-652-4281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherEIN