GRUPO MEDICO JATIBONICO LLC (NPI# 1013408459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013408459 |
| Entity Type | Organization |
| Organization Name | GRUPO MEDICO JATIBONICO LLC |
| Practice Address |
65 Calle Pedro Rosario Aibonito PR 00705-3237 |
| Mailing Address |
Urb. Caribe 1551 Calle Alda San Juan PR 00926 |
| Practice Telephone | 7876252500 |
| Practice Fax Number | 7876250438 |
| Mailing Telephone | 7876252500 |
| Mailing Fax Number | 7876250438 |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | MR. JOAQUIN A FELICIANO SR. (ADMINISTRATOR) |
| Authorized Official Telephone | 7876252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | PR | Ambulatory Health Care Facilities |
| Street Address |
65 CALLE PEDRO ROSARIO |
| City | AIBONITO |
| State | PR |
| Zip Code | 00705-3237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406267 | Cristaly Rivera | Social Worker | Carr 723 Km 0.01 Bo. Asomante 705, Aibonito, PR 00705 | 2020-10-27 |
| 1780283887 | Emily Rosa Matos | Psychologist | State Road 14, Calle Sargento Gerardo Santiago #15, Aibonito, PR 00705 | 2020-10-20 |
| 1417574039 | Clinica Todo Salud, LLC | Case Management | 53 Cll Felix Rios #71, Aibonito, PR 00705 | 2020-06-30 |
| 1821624032 | Keishla Cartagena | Psychologist | Carr 722 Km 3.9 Bo Rabanal Sector La Sierra, Aibonito, PR 00705 | 2020-03-19 |
| 1194351866 | Mi Tele Salud | Clinic/Center | Edificio Central, Calle Baldorioty 165 Norte Buzon #2, Aibonito, PR 00705 | 2020-03-13 |
| 1801421748 | Kiara Crystal Ortiz | Student in an Organized Health Care Education/Training Program | Urb. Mirador Las Delicias, Aibonito, PR 00705 | 2020-03-11 |
| 1407487374 | Asdrubal Enrique Rivera Dones | Student in an Organized Health Care Education/Training Program | Carr 723 Km 0.9 Int Bo. Asomante, Aibonito, PR 00705 | 2020-01-30 |
| 1285274761 | Francisco Manuel Pujals Frye | Student in an Organized Health Care Education/Training Program | Calle Sgto Gerardo Santiago Carr #14 Interior, Aibonito, PR 00705 | 2020-01-13 |
| 1871132464 | Farmacia Unity, Inc. | Pharmacy | Calle San Jose #51 Oeste, Aibonito, PR 00705 | 2019-12-30 |
| 1699314500 | Bienestar Health Group | Clinic/Center | Calle Baldorioty 165 Norte, Buzon #2, Barrio Llanos, Aibonito, PR 00705 | 2019-12-26 |
| Find all providers in zip 00705 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073842308 | Centro Especializado En La Mujer | Clinic/Center | Urb Villa Rosales, Calle Dr Troyer A1, Aibonito, PR 00705 | 2009-12-16 |
| 1851955793 | Bienestar Health Partners, LLC | Clinic/Center | Calle Baldorioty 165 Norte, Buzon #2, Aibonito, PR 00705 | 2019-04-25 |
| 1275887473 | Clinica Vacunacion Y Medica | Clinic/Center | A2 Calle Dr Troyer, Aibonito, PR 00705-3304 | 2012-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131625 | Inmuni, LLC | Clinic/Center | Carr 417 Km 4.5, Bo. Asomante, Aguada, PR 00602 | 2020-10-16 |
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1588270490 | Phm Multidisciplinary Clinic Cabo Rojo LLC | Clinic/Center | Pr 100, Galeria 100 Shopping Center Lot No. 13, Cabo Rojo, PR 00623 | 2020-09-17 |
| 1801408489 | Vaccines & Vitamins Wellness Center | Clinic/Center | 293 Ave Winston Churchill, San Juan, PR 00926-6604 | 2020-08-17 |
| 1366060766 | Prepven Corp | Clinic/Center | 315 Calle Manuel Domenech Ste 1, San Juan, PR 00918-3513 | 2020-07-12 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1144852138 | Sebastian Quinones | Clinic/Center | Urb Caparra Hills, E-6 Calle Eucalipto, Guaynabo, PR 00968 | 2020-02-07 |
| 1174161160 | Pm Health Corp | Clinic/Center | Urb. Villa Universitaria Calle 26a Ba 10, Humacao, PR 00971 | 2019-12-20 |
| 1710524855 | Empresas Jkp LLC | Clinic/Center | Hospital Doctors Center Torre Medica II Carr 2 Km 47.8, Suite 151 B, Manati, PR 00674 | 2019-12-09 |
| 1881231546 | Le Petit Vision Center LLC | Clinic/Center | Consolidated Mall C-22, Ave Gautier Benitez 202, Caguas, PR 00725-9998 | 2019-12-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.