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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 Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for HAVENDETOX PR LLC

NPI # 1386529048
LBN Legal business name HAVENDETOX PR LLC
Authorized official KIRILL VESSELOV - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2025
Last updated 10/30/2025 - About 7 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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