CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC. (NPI# 1275539728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275539728 |
| Entity Type | Organization |
| Organization Name | CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC. |
| Practice Address |
99 Guillermo Riefkohl St. Patillas PR 00723-0000 |
| Mailing Address |
99 Guillermo Riefkhol Street Po Box 697 Patillas PR 00723-0697 |
| Practice Telephone | 7878394320 |
| Practice Fax Number | 7872710004 |
| Mailing Telephone | 7878394320 |
| Mailing Fax Number | 7872710004 |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2016-05-06 |
| Authorized Official Name | MRS. MILDRED MOREL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7878394320 |
| Authorized Official Credential | BBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
55 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | 0080082 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639207681 | Centro Servicios Primarios De Salud De Patillas Inc. | Pharmacy | Calle Guillermo Riefkohl # 99, Patillas, PR 00723-0697 | 2007-03-01 |
| 1164532792 | Centro Servicios Primarios De Salud De Patillas Inc. | Ambulance | 99 Guillermo Riefkohl Street, Patillas, PR 00723-0697 | 2006-08-30 |
| 1518408988 | Centro Servicios Primarios De Salud De Patillas Inc. | Clinical Medical Laboratory | 99 Calle Guillermo Riefkohl, Patillas, PR 00723 | 2017-03-17 |
| 1467839159 | Centro Servicios Primarios De Salud De Patillas Inc. | Clinic/Center | 32 Calle Munoz Rivera, Santa Isabel, PR 00757-0000 | 2015-05-01 |
| 1003203589 | Centro Servicios Primarios De Salud De Patillas Inc. | Pharmacy | 45 Calle Munoz Rivera, Maunabo, PR 00707-2146 | 2015-04-22 |
| 1366654337 | Centro Servicios Primarios De Salud De Patillas Inc. | Clinic/Center | 99 Guillermo Riefkhol Street, Patillas, PR 00723-0697 | 2007-05-04 |
| Street Address |
99 GUILLERMO RIEFKOHL ST. |
| City | PATILLAS |
| State | PR |
| Zip Code | 00723-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417349960 | Sasha Vazquez Colon | Registered Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723-0000 | 2015-02-20 |
| 1861603367 | Ruth Ortiz | Registered Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-25 |
| 1184834970 | Marinelly Santiago | Pharmacy Technician | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-23 |
| 1982814778 | Jose Antonio Cortes | Registered Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-23 |
| 1871703660 | Wanda Alicea | Licensed Practical Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723 | 2007-05-23 |
| 1033329826 | Elba Blondet | Registered Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-23 |
| 1811107618 | Socorro Antuna | Social Worker | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-23 |
| 1366652851 | Carmen Iris Laboy | Licensed Practical Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-23 |
| 1437369923 | Gloria De Alba | Licensed Practical Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-23 |
| 1912116153 | Carmen Milagros Jimenez | Registered Nurse | 99 Guillermo Riefkohl St., Patillas, PR 00723-0697 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740808260 | Luis Jose Lopez-torres | Specialist/Technologist | Urb Villas De Patillas Calle Zafiro H8, Patillas, PR 00723 | 2020-07-10 |
| 1497384846 | Alexzavier Colon | General Practice | Bo.cacao Bajo Patillas Pr, Patillas, PR 00723 | 2020-04-07 |
| 1528699410 | Lorymar Soto Velazquez | Registered Nurse | Calle Guillermo Riefkhol 99, Patillas, PR 00723 | 2020-01-29 |
| 1740826635 | Danny Abdallah Samara | General Practice | Jardines Del Mamey Calle 1 Casa A-1, Patillas, PR 00723 | 2019-11-26 |
| 1790334506 | Valeria Alexandra Martinez Lebron | Student in an Organized Health Care Education/Training Program | Urb. Jardines Del Mamey, Calle 1 B7, Patillas, PR 00723 | 2019-09-05 |
| 1073178596 | Marta Martinez-colon | Pharmacy Technician | 99 Calle Guillermo Riefkhol, Patillas, PR 00723 | 2019-05-09 |
| 1285190017 | Aidin Dalila Millan | Social Worker | 7 Calle Providencia Cerezo Street, Patillas, PR 00723 | 2019-02-18 |
| 1982110276 | Angelica Sharys Roman Rivera | General Practice | 184 Calle Cacao Bajo, Patillas, PR 00723 | 2017-12-21 |
| 1871013730 | B&r Dental Group Psc | Dentist | 3 Calle Riefkohl, Patillas, PR 00723 | 2017-06-22 |
| 1124578554 | Yaritza Cardona | Social Worker | 99 Calle Guillermo Riefkkohl, Patillas, PR 00723 | 2016-10-10 |
| Find all providers in zip 00723 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285184366 | Centro De Servicios Primarios De Salud De Patillas Inc. | Clinic/Center | 99 Calle Guillermo Riefkohl, Patillas, PR 00723 | 2016-10-12 |
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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.