BELLA VISTA POLICLINIC INC (NPI# 1144514951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144514951 |
| Entity Type | Organization |
| Organization Name | BELLA VISTA POLICLINIC INC |
| Other Organization Name | POLICLINIC RADIOLOGY DEPARTMENT |
| Practice Address |
Ave Hostos Number 770 Mayaguez PR 00682-6353 |
| Practice Telephone | 7878346161 |
| Practice Fax Number | 7878344635 |
| Mailing Telephone | 7878346161 |
| Mailing Fax Number | 7878344635 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Authorized Official Name | MR. ENRIQUE RIVERA (CFO) |
| Authorized Official Telephone | 7878346000 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | BELLA VISTA POLICLINIC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
200394 | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Policlinic Radiology Department | Doing Business As Name - Organization |
| Street Address |
AVE HOSTOS NUMBER 770 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00682-6353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861435539 | Hernan Alonso Cruz-sanchez | Specialist | Ave Hostos, #410, Mayaguez, PR 00682-6353 | 2006-06-13 |
| 1164809182 | Evy Ann Ryan | Nutritionist | Ave Hostos, 201 Edificio Office Park Iv Building, Mayaguez, PR 00682-6353 | 2015-04-28 |
| 1205187697 | Bella Vista Policlinic, Inc | Clinic/Center | Ave Hostos, Number 770, Mayaguez, PR 00681 | 2012-09-25 |
| 1861786501 | Nomaris Cancel-cruz | Pharmacist | Ave Hostos, 505, Mayaguez, PR 00682-6353 | 2011-05-29 |
| 1811221088 | Western Radiotherapy Cancer Center | Radiologic Technologist | Ave Hostos, Centro Medico Ramon E. Betances, Mayaguez, PR 00682-6353 | 2009-09-22 |
| 1013140383 | Mayaguez Medical Center Dr Ramon Emeterio Betances Inc | Clinic/Center | Ave Hostos, #410, Mayaguez, PR 00682-6353 | 2009-09-02 |
| 1528237617 | Carmen I Lopezacevedo | Physical Therapist | Ave Hostos, Suite 1, Mayaguez, PR 00682-6353 | 2008-02-22 |
| 1013128248 | Jacqueline Jimenez | Speech-Language Pathologist | Ave Hostos, Suite 15, Mayaguez, PR 00682-6353 | 2007-05-28 |
| 1508070053 | Farmacia Policlinica Bella Vista | Pharmacy | Ave Hostos, Number 770, Mayaguez, PR 00682-6353 | 2007-05-10 |
| 1588877450 | Dolly E. Lugo | Pharmacist | Ave Hostos, # 770, Mayaguez, PR 00682-6353 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437136 | Laura Andrea Rosado Gonzalez | Internal Medicine | Paseo Los Robles, Los Caminos, #1805, Mayaguez, PR 00682 | 2020-08-13 |
| 1649898875 | Grupo Ng L.l.c | Pharmacy | Plaza De Hostos Local 8 Carr #2 Km 151, Mayaguez, PR 00682 | 2020-07-14 |
| 1023639127 | Eugenio Alejandro Sanchez Perez IIi | Physician Assistant | Urb. Los Versalles, Calle Luis Xiv #2042, Mayaguez, PR 00682 | 2020-04-29 |
| 1285267864 | Farmacia Ajl LLC | Pharmacy | Carr 108 Km 2.6, Mayaguez, PR 00682 | 2020-02-21 |
| 1487202198 | Benjamin Colucci Bisot | Psychologist | Alturas De Mayaguez, Calle Torrecillas 913, Mayaguez, PR 00682 | 2019-08-27 |
| 1356997084 | Rafael Munoz | Massage Therapist | Cond La Cima Apt A602, Urb Paseo Los Robles, Mayaguez, PR 00682 | 2019-08-19 |
| 1194377382 | Eduardo Alberto Lindsay | Family Medicine | Hostos 410 Carretera 2, Mayaguez, PR 00682 | 2019-07-09 |
| 1194382606 | Melanie Mercado | Psychologist | 1588 Carr 108 Km 4.3, Bo Miradero, Mayaguez, PR 00682 | 2019-05-21 |
| 1497229355 | Israel Laracuente | Student in an Organized Health Care Education/Training Program | 3111 Calle Atalaya, Alturas De Mayaguez, Mayaguez, PR 00682 | 2019-01-14 |
| 1528540861 | Elsie Maria Rodriguez Palermo | Psychologist | 445 Gonzalez Clemente Ave, Val Harbour Plaza Suite 301, Mayaguez, PR 00682 | 2018-09-04 |
| Find all providers in zip 00682 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720212822 | Western Imaging Services, P.s.c | Clinic/Center | 105 Este Mendez Vigo, Mayaguez, PR 00680 | 2009-05-05 |
| 1811121783 | Western Radiosonics, Inc. | Clinic/Center | 105 Este Mendez Vigo, Mayaguez, PR 00680 | 2009-05-07 |
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| 1447740048 | Mennonite General Hospital Inc | Clinic/Center | Carretera 156 Km 16.5, Calle Barcelo Bo Quebrada Grande, Barranquitas, PR 00720 | 2018-05-18 |
| 1528558129 | Mennonite General Hospital Inc | Clinic/Center | 18 Avenida Luis Munoz Marin, Edificio Oro Office, Orocovis, PR 00720-0000 | 2018-05-18 |
| 1407373798 | Mennonite General Hospital | Clinic/Center | 10 Calle Barcelo, Barranquitas, PR 00794-1780 | 2017-08-28 |
| 1902258031 | Toa Alta X-ray & Imaging Services LLC | Clinic/Center | 9 Calle Antonio R Barcelo, Toa Alta, PR 00953-2444 | 2016-07-13 |
| 1366890311 | Dla Imaging LLC | Clinic/Center | 70 Calle Aquamarina, 70 Calle Aquamarina, San Juan, PR 00926-7067 | 2016-06-01 |
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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.