National Provider Identifier Database

HAVENDETOX PR LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

HAVENDETOX PR LLC
CARR, #2 KM 117.9 INT SOLAR 6
BO. CEIBA BAJA DE AGUADILLA
AGUADILLA, PR00603
Phone: 561-461-3791
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for HAVENDETOX PR LLC

NPI Number 1386529048
Legal business name
LBN
HAVENDETOX PR LLC
Authorized official KIRILL VESSELOV - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/11/2025
Last updated 10/30/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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