CASA JOVEN DEL CARIBE, INC. (NPI# 1215294343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215294343 |
| Entity Type | Organization |
| Organization Name | CASA JOVEN DEL CARIBE, INC. |
| Other Organization Name | CLINICA RENACER |
| Practice Address |
537 Calle Ext S Dorado PR 00646-5016 |
| Mailing Address |
Po Box 694 Dorado PR 00646-0694 |
| Practice Telephone | 7877962832 |
| Practice Fax Number | 7877962832 |
| Mailing Telephone | 7877962832 |
| Mailing Fax Number | 7877962832 |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |
| Authorized Official Name | MR. SAMUEL AGOSTO LOPEZ (DIRECTOR SERVICIOS CLINICOS) |
| Authorized Official Telephone | 7876440194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
16726 | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CLINICA RENACER | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265796635 | Casa Joven Del Caribe, Inc. | Pharmacy | Calle Extension Sur #537, Dorado, PR 00646-0694 | 2012-06-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CASA JOVEN DEL CARIBE, INC | 537 Calle Ext S, Dorado, PR 00646-5016 |
| Street Address |
537 CALLE EXT S |
| City | DORADO |
| State | PR |
| Zip Code | 00646-5016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355440 | Andrea Carolina Ferre Martinez | Occupational Therapist | Carr. 695 Km 1.6 Bo. Higuillar Urb. Doraville, Dorado, PR 00646 | 2020-10-29 |
| 1881211704 | Hector Alejandro Mendez | Student in an Organized Health Care Education/Training Program | Paseo Los Corales I #570, Dorado, PR 00646 | 2020-06-26 |
| 1306461058 | Yasmin Marin Torres | Pharmacist | Carr. #2 Km 26.2 Bo Espinosa, Dorado, PR 00646 | 2020-06-09 |
| 1750900965 | Lilliam Davila | Nutritionist | Barrio Maguayo Parcelas El Cotto #91 Calle 5, Dorado, PR 00646 | 2020-04-09 |
| 1700411543 | John Ahmed Negron Medina | Student in an Organized Health Care Education/Training Program | Sabanera De Dorado, Camino De Susua, 417, Dorado, PR 00646 | 2020-03-11 |
| 1821636432 | Sunset Health & Rehabilitation | Clinic/Center | Carr 694 Km 3, 4 Barrio Maguayo, Dorado, PR 00646 | 2019-12-13 |
| 1679118871 | Ana Michelle Fernandez | Psychologist | 4 Pr-695, Dorado, PR 00646 | 2019-11-12 |
| 1265075758 | Amanda Santiago Matias | Social Worker | Urb. Molinos Del Rio Calle #202, Dorado, PR 00646 | 2019-10-28 |
| 1124660113 | Nattali Rodriguez Vega | Dentist | 491 Camino Del Yunque, Urb Sabanera Dorado, Dorado, PR 00646 | 2019-10-11 |
| 1831740315 | Gladiminet Lopez | Psychologist | Carr. 695 Km 2.0 Bo. Higuillar, Dorado, PR 00646 | 2019-09-25 |
| Find all providers in zip 00646 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639547250 | Neurology and Neurosciences LLC | Clinic/Center | 448 Dorado Bch E, Dorado, PR 00646-2226 | 2015-09-14 |
| 1053715409 | Best Vision, LLC | Clinic/Center | 410 Calle Mendez Vigo, Suite 104, Dorado, PR 00646-4800 | 2014-10-14 |
| 1699063891 | Optilook | Clinic/Center | Mahi Mahi Shop Ctr, Carr 693 #4211 Ste 20, Dorado, PR 00646-4804 | 2011-07-21 |
| 1619113263 | Dorado Ob-gyn | Clinic/Center | 349 Calle Mendez Vigo, Dorado, PR 00646-4917 | 2009-01-05 |
| 1164525226 | Pediatric Walk-in Clinic | Clinic/Center | Calle Ext Sur 503, Dorado, PR 00646 | 2006-09-06 |
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| 1386199032 | Ncderm LLC | Clinic/Center | 500 Degetau Avenue, Hima Plaza I, Suite 513, Caguas, PR 00725 | 2016-08-23 |
| 1194278689 | B Derm Psc | Clinic/Center | C4 Calle Bromelia, Parque De Bucare, Guaynabo, PR 00969 | 2016-08-01 |
| 1518318344 | 'hormones' Endocrinology Health & Wellness Clinic LLC | Clinic/Center | 67 Ave Baldorioty W, Cayey, PR 00736-3834 | 2016-06-22 |
| 1417302464 | Agd Endocrinology LLC | Clinic/Center | Bs4 Avenida Las Americas, Urbanizacion Bairoa, Caguas, PR 00725 | 2016-04-27 |
| 1912367772 | Servicios Medicos Pediatricos | Clinic/Center | 17 Main and Calle Cibeles, El Retiro Housing, San German, PR 00683-4459 | 2016-03-07 |
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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.