MARISOL M MUBARAK PERDOMO (NPI# 1063585024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063585024 |
| Entity Type | Individual |
| Full Name | MARISOL M MUBARAK PERDOMO |
| Credential | M.D. |
| Practice Address |
1451 Ave Ashford Esq Nairm Estacionamiento La Galeria Suite 611 San Juan PR 00907-1567 |
| Mailing Address |
Calle Bienteveo Num 94 Montehiedra San Juan PR 00926 |
| Practice Telephone | 7877248945 |
| Mailing Telephone | 7877248945 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-06-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NN0400X |
Chiropractor Specialization: Neurology |
11177 | PR | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | HUMANA HEALTH PLANS | 0500133 | 01 |
| PR | PREFERRED HEALTH | 217023 | 01 |
| PR | MEDICARE Y MUCHO MAS | 600108 | 01 |
| PR | TRIPLE S | 83360 | 01 |
| Street Address |
1451 AVE ASHFORD ESQ NAIRM ESTACIONAMIENTO LA GALERIA SUITE 611 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00907-1567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338574 | Pop Health, LLC | Chiropractor | Cond Casa Del Valle, Comercial B, 1450 Ave Ashford, San Juan, PR 00907 | 2020-08-26 |
| 1760091086 | Patrick Anthony Maher | Student in an Organized Health Care Education/Training Program | 1451 Ave Dr. Ashford, San Juan, PR 00907 | 2020-07-23 |
| 1922621283 | Mariana Silva | Clinic/Center | 29 Washigton St Ofice 409, Ashford Medical Center, San Juan, PR 00907 | 2020-05-21 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1376182519 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Vig Tower, Piso 1, 1225 Ave Ponce De Leon, San Juan, PR 00907 | 2020-01-06 |
| 1154979235 | Teresa Pilar Del Rio | Student in an Organized Health Care Education/Training Program | Calle Villamil 303, Apt 1506, San Juan, PR 00907 | 2019-08-31 |
| 1457906208 | Jose A Pineiro Salgado | Audiologist | San Juan Health Center Bldg, 150 Ave De Diego, San Juan, PR 00907 | 2019-08-08 |
| 1649825456 | Melba I Rivera | Social Worker | Hospital De Psiquiatria Estatal Dr Ramon Fernandez Mari, Calle Maga Bo Monacillos, San Juan, PR 00907 | 2019-08-08 |
| 1346894060 | Hazel Faunde | Social Worker | 605 Calle Condado, Edif San Alberto Suite 611, Santurce, PR 00907 | 2019-07-31 |
| 1134789407 | Alexandra Medina Calderon | Social Worker | Edificio Plaza Del Condado, 62-64 Calle Condado, Condado, PR 00907 | 2019-06-18 |
| Find all providers in zip 00907 | ||||
| Taxonomy Code | 111NN0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Neurology |
| Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the physiology and behavior of an individual. Chiropractic Neurologists are board-certified specialists in non-drug, non-surgical care for those with neurologically based health problems. There are many conditions people suffer from that are in this broad category: learning and attention disorders, headaches, vertigo, pain syndromes, developmental disorders, nerve injury, spinal cord injury, head injury or stroke, movement disorders, and many other conditions. |
| Notes: Source: American Chiropractic Neurology Board, 2008 & American Chiropractic Association, 2008 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568573673 | Moises Esquenazi | Chiropractor | Torre Auxilio Mutuo, Suite 208 Parada 37.5, San Juan, PR 00937 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922664846 | Cassandra Liz Jimenez Fernandez | Chiropractor | Ij22 Calle Palma Real, Bayamon, PR 00956-2970 | 2019-05-16 |
| 1598214579 | Caribe Health Center LLC | Chiropractor | Carr 493 Km.0.9, 101, Hatillo, PR 00659 | 2016-10-01 |
| 1093263303 | Jean Carlos Acevedo | Chiropractor | Calle 493 Km 0.9 Bo Carrizales, Del Norte Professional Plaza Office 101, Hatillo, PR 00659 | 2016-09-15 |
| 1821270216 | Me Medical Office Csp | Chiropractor | Auxilio Mutuo Suite 208, 735 Ave Ponce De Leon, Hato Rey, PR 00917-0208 | 2007-11-28 |
| 1063415230 | Angela Manana | Chiropractor | Manati Medical Center Dr. Otero Lopez Suite 105, Urb. Atenas Calle Hernandez Carrion, Manati, PR 00674 | 2005-05-23 |
| 1760922082 | Vilmarie Soto Gonzalez | Chiropractor | 1400 Ave De Diego, St.130 Parque Escorial, Carolina, PR 00987-4701 | 2017-03-06 |
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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.