CANOVANAS MEDICAL GROUP (NPI# 1285855411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285855411 |
| Entity Type | Organization |
| Organization Name | CANOVANAS MEDICAL GROUP |
| Other Organization Name | CANOVANAS MEDICAL GROUP |
| Practice Address |
61 Calle Palmer Canovanas PR 00729-3116 |
| Mailing Address |
Po Box 525 Canovanas PR 00729-0525 |
| Practice Telephone | 7872567642 |
| Practice Fax Number | 7878765260 |
| Mailing Telephone | 7872567642 |
| Mailing Fax Number | 7878765260 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. HILDA V MUJICA (PRESIDENTA) |
| Authorized Official Telephone | 7872567642 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Canovanas Medical Group | Other Name - Individual/Organization |
| Street Address |
61 CALLE PALMER |
| City | CANOVANAS |
| State | PR |
| Zip Code | 00729-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558761759 | Eda Leon | Nutritionist | 61 Calle Palmer, Canovanas, PR 00729-3116 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875180 | Centro De Terapia Fisica Campo Rico Inc | Clinic/Center | Carr 185 Km 5.5 Bo. Campo Rico, Canovanas, PR 00729 | 2020-09-10 |
| 1518571975 | Sensory Centro De Desarrollo | Psychologist | Edificio Multiusos Pbo-5, Calle Autonomia, Esq. Betances Bo. Pueblo, Canovanas, PR 00729 | 2020-09-03 |
| 1245843317 | Gelycan Corp | Community/Behavioral Health | Carr 186 Km95, Cubuy, Canovanas, PR 00729 | 2020-08-28 |
| 1538772603 | Picoreto Therapy Group LLC | Psychologist | Edificio Multiusos, Pbo 5 Calle Autonomia Esq Pepita Albandoz, Canovanas, PR 00729 | 2020-08-28 |
| 1790395911 | Kenneth Landron | Chiropractor | River Garden, Calle Flor De Tatiana # B4, Canovanas, PR 00729 | 2020-08-03 |
| 1982221800 | Natalie Crystal Rivera Rodriguez | Student in an Organized Health Care Education/Training Program | Urb River Valley C. Rio La Plata E 11, Canovanas, PR 00729 | 2020-06-26 |
| 1295358380 | Ed Bonano | Technician/Technologist | Z 974 Calle Bahunia Loiza Valley, Canovanas, PR 00729 | 2020-05-22 |
| 1477184943 | Krystle Marie Feliciano | Social Worker | Loiza Valleyshopping Center, Local Aa-6, Canovanas, PR 00729 | 2020-02-03 |
| 1932730421 | Bethzaida Cotto | Occupational Therapy Assistant | Canovanas Mall Enrique Mangual Carr. 185 Km. 1.0, Local 14, Canovanas, PR 00729 | 2020-02-03 |
| 1881225779 | Annette Marie Figueroa | Pharmacist | Urb Las Haciendas 15128 Calle Camino Alto, Canovanas, PR 00729 | 2020-01-29 |
| Find all providers in zip 00729 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
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| 1447648563 | San Juan Vamc | Clinic/Center | Jose De Diego Street, Suite 15, Comerio, PR 00782-2531 | 2014-12-23 |
| 1275801029 | San Juan Vamc | Clinic/Center | Building Lot #3, Pr-3 Km 54.9, Pueblo Ward, Ceiba, PR 00735-9998 | 2011-12-08 |
| 1952545279 | Cima | Clinic/Center | Ave Agustin Ramos Calero Interior 111, Isabela, PR 00662 | 2009-04-30 |
| 1316163843 | Centro De Vacunacion Del Noroeste, Inc. | Clinic/Center | Lirio F-3 Bzn.27, Urb. Vistas De San Loenzo, San Lorenzo, PR 00754 | 2007-04-17 |
| 1942325261 | Policlinicas De Ponce | Clinic/Center | Pmb 261 Aptdo 7105, Pmb 261 Aptdo 7105, Ponce, PR 00732-7105 | 2007-03-20 |
| 1851331557 | San Juan Vamc | Clinic/Center | 850 Calle Arnaldo Bristol, Suite 1, Guayama, PR 00784-6876 | 2006-06-08 |
| 1356380786 | San Juan Vamc | Clinic/Center | Paseo Del Veterano #1010, Ponce, PR 00716-2001 | 2006-06-04 |
| 1184662843 | San Juan Vamc | Clinic/Center | 345 Hostos Ave, Mayaguez, PR 00680-1507 | 2006-06-03 |
| 1730130915 | San Juan Vamc | Clinic/Center | Zona Industrial Rd 129, Hospital Metropolitano, Victor Rojas II, Arecibo, PR 00612-3085 | 2006-05-13 |
| Find all providers with the same taxonomy | ||||
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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.