CENTRO TRATAMIENTO AMBULATORIO SAN JUAN


Address: Centro Medico, Calle Maga, San Juan, PR 00922
Phone: 7877530665

CENTRO TRATAMIENTO AMBULATORIO SAN JUAN (NPI# 1295954022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295954022
Entity Type Organization
Organization Name CENTRO TRATAMIENTO AMBULATORIO SAN JUAN
Practice Address Centro Medico
Calle Maga
San Juan
PR 00922
Mailing Address Po Box 21414
San Juan
PR 00928-1414
Practice Telephone 7877530665
Mailing Telephone 7877530665
Enumeration Date 2007-04-24
Last Update Date 2020-08-22
Authorized Official Name DR. IVAN UMPIERRE (DIRECTOR)
Authorized Official Telephone 7877530665
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0405X Clinic/Center
Specialization: Rehabilitation, Substance Use Disorder
PR Ambulatory Health Care Facilities

Office Location

Street Address CENTRO MEDICO
CALLE MAGA
City SAN JUAN
State PR
Zip Code 00922

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437127818 Gloria E Reyes Specialist Centro Medico, Upr School of Medicine, San Juan, PR 00929-0134 2006-03-10
1588208052 Manuel Josue Pastrana Arroyo Obstetrics & Gynecology Centro Medico, San Juan, PR 00936 2019-10-29
1952969669 Lilianiz Candelaria Occupational Therapy Assistant Centro Medico, Cond Maga Bo Monacillos, San Juan, PR 00907 2019-05-29
1184102253 Ian Jared Da Silva Lugo Student in an Organized Health Care Education/Training Program Centro Medico, San Juan, PR 00921 2018-08-01
1861982167 Jeremy Jason Feliciano Student in an Organized Health Care Education/Training Program Centro Medico, San Juan, PR 00936-5067 2018-05-14
1720531874 Jessica Abreu Special Hospital Centro Medico, San Juan, PR 00927 2016-07-25
1194178673 Edrick G Lugo Millan Student in an Organized Health Care Education/Training Program Centro Medico, Barrio Monacillos, San Juan, PR 00935-0001 2016-07-19
1174993224 Camille Marie Gonzalez Morales Internal Medicine Centro Medico, Apartado 365067, Rio Piedras, San Juan, PR 00936 2015-10-01
1639584741 Johana V. Betances Lopez Pediatrics Centro Medico, Bo. Monacillos Carr. 22, San Juan, PR 00935-0001 2014-06-26
1538571419 Reinaldo Ramirez Amill Internal Medicine Centro Medico, San Juan, PR 00935-0001 2014-05-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407383318 Hector Teodoro Rondon Student in an Organized Health Care Education/Training Program 2116 Monacillo St, University District Hospital Puerto Rico Medical Center, San Juan, PR 00922 2017-05-23
1104373984 Medical Transportation Services LLC Taxi 1503 Ave Rosevelt, Esq Escorial, San Juan, PR 00922 2016-09-08
1174078778 Walgreen Co Durable Medical Equipment & Medical Supplies Carretera Estatal Pr2 Km 101.0, Quebradillas, PR 00922 2016-08-24
1447629209 Glorimar Agosto Social Worker 342 San Luis, Edif. Newport Iv, San Juan, PR 00922 2015-09-22
1588041263 Manuel Alexis Rodriguez Perez Orthopaedic Surgery Udh Puerto Rico Medical Center, Bo Monacillos, San Juan, PR 00922 2015-05-01
1669868337 Nesyali Rolon Specialist/Technologist 826 Avenida San Patricio Local 1, Urbanizacion Las Lomas, San Juan, PR 00922 2015-04-09
1356737316 Elaine Marie Rodriguez Specialist/Technologist 824 Avenida San Patricio, Local 1 Urbanizacion Las Lomas, San Juan, PR 00922 2015-04-07
1821490053 Joraida Nieves Speech-Language Pathologist Crr19 Km 0.6, Bo Monacillo, San Juan, PR 00922 2014-09-18
1306247812 Mario Augusto Corona Student in an Organized Health Care Education/Training Program University District Hospital, Puerto Rico Medicalcenter, B.o. Monacillos, San Juan, PR 00922 2014-09-16
1609200575 Thais Bermudez Chiropractor 490 Calle Sirio Esquina Perseo, San Juan, PR 00922 2013-08-28
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Taxonomy Information

Taxonomy Code 261QR0405X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Substance Use Disorder

Taxonomy Definition

Definition to come...

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1750687414 Department of Veterans Affairs Clinic/Center Casia 10, San Juan, PR 00926-0926 2011-01-28

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1841542420 Assmca Clinic/Center Bo. Collores Carr. 512 Km. 5.2, Juana Diaz, PR 00795 2012-10-08
1831457688 Proyecto Oais De Amor, Inc. Clinic/Center Zf15 Calle 33, Urb Riverview, Bayamon, PR 00961-3939 2012-04-30
1053600270 Hogar Llevando Luz A Las Tinieblas, Inc. Clinic/Center Pr 782 Km.9 Hm.7 Barrio Bayamoncito, Sector El Punto, Aguas Buenas, PR 00703 2011-03-29
1013192574 Wilmer I Soto Clinic/Center Dt28 Calle Lago Icaco, 5talevittown, Toa Baja, PR 00949-3529 2008-01-03
1174742332 Centro Tratamiento Ambulatorio Mayaguez Clinic/Center Edif. Centro Del Oeste Calle Relampago 70, Mayaguez, PR 00680 2007-04-25
1801015300 Centro Tratamiento Ambulatorio Ponce Clinic/Center Bo Machuelos Carr 14, Pabellon C 2do Piso Anexo Hosp Psiquiatria, Ponce, PR 00732 2007-04-24
1245457019 Centro Tratamiento Ambulatorio Carolina Clinic/Center Calle Ignacio Arzuaga 5-e, Carolina, PR 00985 2007-04-20
1336366103 Centro Tratamiento Ambulatorio Drug Courts Clinic/Center Antiguo Hospital De Distrito, Carr 129, Arecibo, PR 00630 2007-04-20
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Competitor

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City SAN JUAN
Zip Code 00922

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Dataset Information

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.

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