BELLA VISTA HOSPITAL, INC (NPI# 1164775151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164775151 |
| Entity Type | Organization |
| Organization Name | BELLA VISTA HOSPITAL, INC |
| Other Organization Name | BELLA VISTA ENT GROUP |
| Practice Address |
Street 349 Km 2.7 Mayaguez PR 00681 |
| Mailing Address |
Po Box 1750 Mayaguez PR 00681-1750 |
| Practice Telephone | 7876526031 |
| Practice Fax Number | 7878053705 |
| Mailing Telephone | 7876526031 |
| Mailing Fax Number | 7878053705 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MR. ENRIQUE RIVERA (CFO) |
| Authorized Official Telephone | 7876526031 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | BELLA VISTA HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bella Vista ENT Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043592553 | Bella Vista Hospital, Inc | Pediatrics | 349 St. Km. 2.7, Mayaguez, PR 00680 | 2011-09-12 |
| 1144538661 | Bella Vista Hospital, Inc | Rehabilitation Unit | 349 St. Km 3.4, Mayaguez, PR 00680 | 2010-09-17 |
| 1881998334 | Bella Vista Hospital, Inc | Surgery | 349 St. Km 3.4, Mayaguez, PR 00680 | 2010-12-27 |
| Street Address |
STREET 349 KM 2.7 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826385 | Iocp Optical LLC | Optometrist | Edificio 101 Mendez Vigo, Mayaguez, PR 00681 | 2020-03-17 |
| 1295365674 | Yaniel A Garcia Cortes | Pharmacist | Carr#2 Puerto Rico, Mayaguez, 00681, Mayaguez, PR 00681 | 2020-01-24 |
| 1922647007 | Melissa Ramirez-gonzalez | Pharmacy | Carr 352 Km 4.6 Bo Leguisamo, Mayaguez, PR 00681 | 2020-01-06 |
| 1942849849 | Joshua Rafael Gonzalez Echevarria | Nurse Anesthetist, Certified Registered | Calle Doctor Barbosa # 15, Mayaguez, PR 00681 | 2019-12-26 |
| 1619516432 | Melodie Katherine Padilla Santiago | Psychologist | Calle Ramon Emeterio Betances, #392, Mayaguez, Pr, PR 00681 | 2019-12-26 |
| 1831757350 | Juan Cristian Perez Olmos | Family Medicine | 410 Carretera 2 Ave Hostos, Bo Sabalos, Mayaguez, PR 00681 | 2019-05-30 |
| 1790342491 | Freddie Irizarry-delgado | Student in an Organized Health Care Education/Training Program | 15 Calle Doctor Basora, Mayaguez, PR 00681 | 2019-05-29 |
| 1720553514 | Optical Supercenter Arecibo Corp. | Optometrist | 4 Calle Zafiro, Vista Verde, Mayaguez, PR 00681 | 2018-10-08 |
| 1194215756 | Manuel Morillo Menendez | Family Medicine | 410 Ave Hostos Carr 2, Bo Sabalos, Mayaguez, PR 00681 | 2018-05-18 |
| 1972017325 | Pedro L. Cortes Jr. | Psychologist | Professional Building Plaza, Avenida Hostos 770 Suite 302, Mayaguez, PR 00681 | 2017-11-21 |
| Find all providers in zip 00681 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747828 | Carlos J Cedo Alzamora | Otolaryngology | Edif La Palma, Peral #14 Esquina De Diego Apt 2 F, Mayaguez, PR 00680-4861 | 2005-08-22 |
| 1447480918 | Gustavo Jesus Almodovar-mercado | Otolaryngology | 14 Calle Peral N, Edificio La Palma Apt 2f, Mayaguez, PR 00680-4861 | 2009-07-19 |
| 1720290083 | Ruben Antonio Velazquez-rousset | Otolaryngology | Carr 349 Km 2.7, Bella Vista Hospital, Mayaguez, PR 00680 | 2007-05-07 |
| 1013918168 | Ruben A. Velazquez Rousset, C.s.p. | Otolaryngology | 351 Ave Hostos, Medical Emporium Suite 201, Mayaguez, PR 00680-1502 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982124145 | Jpm Ent Surgical LLC | Otolaryngology | Avenida Ashford #1451, San Juan, PR 00902 | 2017-06-20 |
| 1255878930 | La Clinica De Rinosinusitis LLC | Otolaryngology | 917 Ave Tito Castro Suite 618, Torre Medica San Lucas, Ponce, PR 00730 | 2017-01-19 |
| 1821542234 | Prime Otolaryngology Services, Psc | Otolaryngology | 1510 Ave F.d. Roosevelt, Mezzanine Suite B, Guaynabo, PR 00968-2602 | 2016-08-15 |
| 1881147825 | Gabriel David Pujol | Otolaryngology | J8 Ave San Patricio, Cond. El Laurel Box 29, Guaynabo, PR 00968-4459 | 2016-07-26 |
| 1508273699 | Gbo Oto Group Psc. | Otolaryngology | 2 Calle Crisalida, Urb Munoz Rivera, Guaynabo, PR 00969-3606 | 2014-07-21 |
| 1346654324 | Gary G Montalvo Petrovich LLC | Otolaryngology | 400 Ave Domenech Ste 506, Las Americas Prof Center, San Juan, PR 00918-0000 | 2014-06-17 |
| 1912326752 | Gabriel Hernandez Martin | Otolaryngology | Ashford Medical Tower Suite 805, 29 Washington Street, San Juan, PR 00907 | 2014-04-09 |
| 1306265269 | Shayanne Alexander Lajud Guerrero | Otolaryngology | Oto Hns School of Medicine, Suite A972 Main Bldg Recinto Ciencias Medicas, San Juan, PR 00935 | 2014-04-08 |
| 1093132920 | Prnsi LLC | Otolaryngology | 299 Pinero Avenue, Urb Hyde Park, San Juan, PR 00927-3900 | 2014-03-28 |
| 1710326723 | Mariana Judith Ortiz Martinez | Otolaryngology | 1789 Carretera 21, Torre Hospital Metropolitano Suite 309, San Juan, PR 00921 | 2013-06-24 |
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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.