MENTE ACTIVA (NPI# 1023561230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023561230 |
| Entity Type | Organization |
| Organization Name | MENTE ACTIVA |
| Practice Address |
775 Calle Caoba Centro Comercial Los Caobos, Suite 10 Ponce PR 00716-2610 |
| Practice Telephone | 7876770503 |
| Mailing Telephone | 7876770503 |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2018-01-25 |
| Authorized Official Name | DR. JAISSELLE MARIE VEGA (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7876770503 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 311500000X | Alzheimer Center (Dementia Center) | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MENTE ACTIVA INC. | 775 Calle Caoba Ste 10, Ponce, PR 00716-2610 |
| Street Address |
775 CALLE CAOBA CENTRO COMERCIAL LOS CAOBOS, SUITE 10 |
| City | PONCE |
| State | PR |
| Zip Code | 00716-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521340 | Maria Lourdes Castellvi | Dentist | 775 Calle Caoba, Centro Comercial Los Caobos Ste. 25, Ponce, PR 00716-2610 | 2006-05-02 |
| 1104379320 | Jaisselle Marie Vega Rosaly | Psychologist | 775 Calle Caoba, Centro Comercial Los Caobos, Suite 6, Ponce, PR 00716-2610 | 2016-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
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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.