Provider Demographics
NPI:1043867492
Name:HOPE CENTER LLC
Entity type:Organization
Organization Name:HOPE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEGRON MARIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-677-7050
Mailing Address - Street 1:EDIFICIO PORRATA PILA SUITE 208
Mailing Address - Street 2:2431 BLVD LUIS A FERRE
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-404-1645
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO PORRATA PILA
Practice Address - Street 2:2431 BLVD LUIS A FERRE SUITE 208
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-404-1645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)