PUENTES DE SALVD (NPI# 1114545977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114545977 |
| Entity Type | Organization |
| Organization Name | PUENTES DE SALVD |
| Practice Address |
1700 South Street Philadelphia PA 19146 |
| Practice Telephone | 2154548000 |
| Practice Fax Number | 2158932251 |
| Mailing Telephone | 2154548000 |
| Mailing Fax Number | 2158932251 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Authorized Official Name | DACEY BOINAIV STRATTON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2076648738 |
| Authorized Official Credential | CRNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 261QM1000X |
Clinic/Center Specialization: Migrant Health |
Ambulatory Health Care Facilities |
| Street Address |
1700 SOUTH STREET |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407480155 | Mutiat Ajibade | Nurse Practitioner | 1401 S. 31 Street, Phialdelphia, PA 19146 | 2020-03-02 |
| 1003453952 | Bridget Smith | Psychologist | Stratton Hall, 3201 Chestnut St., 2nd Floor, Philadelphia, PA 19146 | 2019-12-10 |
| 1730678012 | Christina Martindale | Nurse Anesthetist, Certified Registered | 917 S 15th Street, Philadelphia, PA 19146 | 2018-05-02 |
| 1598289456 | Allison Ortolano | Speech-Language Pathologist | 1933 Montrose St., Philadelphia, PA 19146 | 2017-08-01 |
| 1033630116 | Jami F Young | Psychologist | 2716 South Street, Behavioral Health 8/8473, Philadelphia, PA 19146 | 2017-06-29 |
| 1336678788 | Joshua Ryan Fidler | Occupational Therapist | 2223 Wharton Street, Philadelphia, PA 19146 | 2017-06-08 |
| 1912357930 | Mei Lan Natalie Lau | Pharmacist | 3000-02 Reed Street, Philadelphia, PA 19146 | 2016-06-21 |
| 1417354887 | Brandy Mitchell | Specialist | 1608 Webster Street, Philadelphia, PA 19146 | 2014-12-01 |
| 1942638101 | Woong Yi | Pharmacist | 1155 S.mole St, Philadelphia, PA 19146 | 2013-10-28 |
| 1457603722 | Universal Institute Charter School | Local Education Agency (LEA) | 1415 Catharine St, Philadelphia, PA 19146 | 2012-10-10 |
| Find all providers in zip 19146 | ||||
| Taxonomy Code | 261QM1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Migrant Health |
| Definition to come... |
| City | PHILADELPHIA |
| Zip Code | 19146 |
Please comment or provide details below to improve the information on PUENTES DE SALVD.
| 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.