HATO REY VA DOMICILIARY (4644) INSTITUTION (4)

Name	Value
NAME	HATO REY VA DOMICILIARY
STATE	PUERTO RICO
STREET ADDR. 1	653 MUNOZ RIVERA
CITY	SAN JUAN
ZIP	00918-3631
OFFICIAL VA NAME	HATO REY VA DOMICILIARY
STATUS	National
ASSOCIATIONS	VISN PARENT OF ASSOCIATION: VISN 8 PARENT FACILITY PARENT OF ASSOCIATION: SAN JUAN VA MEDICAL CENTER
BILLING FACILITY NAME	SAN JUAN VA CARE SITE
EFFECTIVE DATE/TIME	2024-05-23 00:00:00 STATUS: INACTIVE NPI: 1861248759
TAXONOMY CODE	Residential Treatment Facilities PRIMARY CODE: YES STATUS: ACTIVE
LOCATION TIMEZONE	ATLANTIC
COUNTRY	USA
AGENCY CODE	VA
POINTER TO AGENCY	VA
STATION NUMBER	672BT
HISTORY