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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
PR | Ambulatory Health Care Facilities |
Street Address |
CENTRO MEDICO CALLE MAGA |
City | SAN JUAN |
State | PR |
Zip Code | 00922 |
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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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 Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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1750687414 | Department of Veterans Affairs | Clinic/Center | Casia 10, San Juan, PR 00926-0926 | 2011-01-28 |
NPI | Name | Taxonomy | Address | Enumeration |
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1811395395 | Islote Medical Solutions Corporation | Clinic/Center | Carretera 681 Km 4.4, Barrio Islote, Arecibo, PR 00612 | 2014-12-15 |
1609129717 | Municipio De Bayamon | Clinic/Center | Calle Isabel 11 Esq. Degetau, Bayamon, PR 00960 | 2012-10-26 |
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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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.