PUERTO RICO ENDOVASCULAR & VASCULAR SOLUTION, P.S.C (NPI# 1104179076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104179076 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO ENDOVASCULAR & VASCULAR SOLUTION, P.S.C |
| Practice Address |
161 Calle San Jorge Suite 402 San Juan PR 00911-2176 |
| Practice Telephone | 7877234525 |
| Practice Fax Number | 7877212574 |
| Mailing Telephone | 7877234525 |
| Mailing Fax Number | 7877212574 |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | DR. JOSE DOMINGO PAGAN (ENDOVASCULAR AND VASCULAR SURGEON) |
| Authorized Official Telephone | 7877234525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICAL LICENSE | 12860 | 01 |
| Street Address |
161 CALLE SAN JORGE SUITE 402 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00911-2176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223683 | Myrna Liz Carrasquillo | Speech-Language Pathologist | Calle Tapia #53, San Juan, PR 00911 | 2020-04-03 |
| 1548892888 | Ana Maria Davila | Student in an Organized Health Care Education/Training Program | 1554 Lopez Landron, Apt 209 Cond Les Cours, San Juan, PR 00911 | 2020-02-05 |
| 1639657232 | Therapy Solutions LLC | Occupational Therapist | 53 Calle Tapia, San Juan, PR 00911 | 2018-08-06 |
| 1962901850 | Alexandra Rivera Santos | Student in an Organized Health Care Education/Training Program | 1519 Lopez Landron, San Juan, PR 00911 | 2018-02-06 |
| 1033631072 | Giselle J. Figueroa Febo | Social Worker | 150 Calle Castro Vinas Egida De Las Enfermeras, San Juan, PR 00911 | 2017-07-12 |
| 1609272368 | Joan Gonzalez | Psychologist | 1965 Calle Mcleary, Urb. Ocean Park, San Juan, PR 00911 | 2014-11-07 |
| 1629470158 | Centro De Radiologia Intervencional De Puerto Rico Cp | Radiology | 1760 Calle Loiza Ste 205, Santurce, PR 00911 | 2014-09-16 |
| 1144635319 | Samuel Fernandez-perez | Orthopaedic Surgery | Ave. De Diego Apt 1002n, Cond. Gallery Plaza, San Juan, PR 00911 | 2014-06-26 |
| 1083039796 | Best Imagen | Optometrist | 111 Calle Tapia, San Juan, PR 00911 | 2014-03-04 |
| 1013201193 | Katherine M Robles Vincenty | Pharmacist | 1963 Loiza Street, San Juan, PR 00911 | 2011-06-06 |
| Find all providers in zip 00911 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124590732 | Platinum Health Care Management Group LLC | Clinic/Center | 121 Urb El Vedado Calle Loaiza Cordero, San Juan, PR 00918 | 2018-12-20 |
| 1144666231 | Center for Endocrine & Laparoscopic Surgery | Clinic/Center | Ave. Fernandez Juncos 1427 Suite 204, San Juan, PR 00910-2174 | 2013-05-15 |
| 1932545225 | Advanced Surgical Center Psc | Clinic/Center | 291 Ave Pinero, San Juan, PR 00927 | 2013-05-14 |
| 1235373952 | Centro Medico | Clinic/Center | 609 Calle Cuevillas, San Juan, PR 00907-3250 | 2009-04-24 |
| 1619031895 | Puerto Rico Perfusion Inc. | Clinic/Center | 513 Calle Eddie Gracia, San Juan, PR 00918-2649 | 2006-12-21 |
| 1730582792 | Afsc of San Juan, Psc | Clinic/Center | 1413 Ave Fernandez Juncos, Suite 1a, San Juan, PR 00909-2649 | 2014-10-06 |
| 1962651497 | Ccala Corp | Clinic/Center | 400 Ave Fd Roosevelt, Suite #301, San Juan, PR 00918-2103 | 2008-09-09 |
| 1912061193 | Slac Corp. | Clinic/Center | 513 Calle Eddie Gracia, San Juan, PR 00918-2649 | 2006-12-21 |
| 1669577342 | San Francisco Pain Management Group Inc | Clinic/Center | 369 Calle De Diego, Suite #303 Torre Hospital San Francsico, San Juan, PR 00923-3003 | 2006-09-14 |
| 1407813181 | De Diego Ambulatory Clinic Corp | Clinic/Center | 150 Ave De Diego, Condominio San Juan Health Centre Box 1, San Juan, PR 00907-2300 | 2006-04-27 |
| Find all providers in SAN JUAN | ||||
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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.