COMPREHENSIVE STAR MEDICAL GROUP, INC (NPI# 1356678569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356678569 |
| Entity Type | Organization |
| Organization Name | COMPREHENSIVE STAR MEDICAL GROUP, INC |
| Practice Address |
Bayamon Medical Mall Avenida Betances J-23 Bayamon PR 00959-7200 |
| Practice Telephone | 7877785311 |
| Practice Fax Number | 7877785302 |
| Mailing Telephone | 7877785311 |
| Mailing Fax Number | 7877785302 |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2009-11-09 |
| Authorized Official Name | MR. JOSE VARGAS (PRESIDENT) |
| Authorized Official Telephone | 7877785311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities |
| Street Address |
BAYAMON MEDICAL MALL AVENIDA BETANCES J-23 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00959-7200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366436743 | Dennis E. Negron Luciano | Internal Medicine | Bayamon Medical Mall, Suite 607, Bayamon, PR 00959-7200 | 2005-08-31 |
| 1336545250 | Metro Bay Surgical Group Csp | Surgery | Bayamon Medical Mall, 1845 Carr #2 Oficina 307, Bayamon, PR 00959-7200 | 2014-11-05 |
| 1598009979 | Felix Ferre, Dmd, Ms, Csp | Dentist | Bayamon Medical Mall, Suite 605, Bayamon, PR 00959-7200 | 2012-11-25 |
| 1023369055 | Rsm Gastroenterology Services Psc | Internal Medicine | Bayamon Medical Mall, Suite 104a, Bayamon, PR 00959-7200 | 2012-10-01 |
| 1235366303 | Rrq Urology Institute PCs | Specialist | Bayamon Medical Mall, Suite 908, Bayamon, PR 00959-7200 | 2009-06-16 |
| 1154597268 | Aidyl Figueroa | Audiologist | Bayamon Medical Mall, Suite 105, Bayamon, PR 00959-7200 | 2008-05-08 |
| 1437354172 | Jaffet M. Seda Rodriguez | Obstetrics & Gynecology | Bayamon Medical Mall, Suite 508, Bayamon, PR 00959-7200 | 2007-06-20 |
| 1760562433 | Norbert Correa Sardina | Internal Medicine | Bayamon Medical Mall, Suite 709, Bayamon, PR 00959-7200 | 2006-10-17 |
| 1962451724 | Samuel Padilla Machuca | Internal Medicine | Bayamon Medical Mall, Suite 509 Piso 5, Bayamon, PR 00959-7200 | 2006-05-09 |
| 1013971712 | William Feliciano | Dermatology | Bayamon Medical Mall, Suite 708, Bayamon, PR 00959-7200 | 2006-04-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565134 | Paola B Fernandez Molinary | Student in an Organized Health Care Education/Training Program | Alborada, El Condominio, 1225, Apartment 2232, Bayamon, PR 00959 | 2020-10-15 |
| 1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
| 1902413990 | Lourdes Marie Davila | General Practice | Urb Extension Forest Hills, Calle Uruguay U 684, Bayamon, PR 00959 | 2020-09-24 |
| 1568074367 | Yanira Perez Nieves | Counselor | Bloque 10 Num. 17 Ave. Aguas Buenas, Edificio 1917 Suite 4, Bayamon, PR 00959 | 2020-08-21 |
| 1689290793 | Metro Pavia Healthcare Centers | Clinic/Center | Carr 167 Urb Bella Vista Marginal Ad-10, Bayamon, PR 00959 | 2020-06-24 |
| 1346864055 | Alma Iris Berrios | Pharmacy | Bo. Hato Tejas, Carr.862 K.m. 1.9, Bayamon, PR 00959 | 2020-05-29 |
| 1437779907 | Precise Radiosurgery Solutions Psc | Radiology | Ext Hnas Davila Marginal Carr #2 Esq 3b, Edificio 1955 Suite G1, Bayamon, PR 00959 | 2020-04-24 |
| 1649809260 | Kathy A. Caraballo Rivera,psc | Family Medicine | Bayamon Medical Center, Carr #2 Km 11.7, Bayamon, PR 00959 | 2020-04-06 |
| 1841826617 | Maidalidys Alcocer | Student in an Organized Health Care Education/Training Program | Urb. Santa Rosa Calle 19 21-13, Bayamon, PR 00959 | 2020-03-12 |
| 1245864081 | Raquel Ivelisse Lopez Crespo | Psychologist | Urb Santa Rosa Blq 51 #62, Marginal Carr #2, Bayamon, PR 00959 | 2020-03-02 |
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| Taxonomy Code | 261QC1800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Corporate Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003235615 | Centro De Servicios De Salud De Bayamon | Clinic/Center | 72-26 Calle 45, Bayamon, PR 00961-4310 | 2014-04-10 |
| 1952694879 | Comprehensive Geriatric Care of Bayamon | Clinic/Center | Avenida Betances J23, Hermanas Davila, Bayamon, PR 00959 | 2011-05-25 |
| 1871894261 | Instituto Gineco-obstetrico Universitario, C.s.p. | Clinic/Center | Hospital Univeristario Dr. Ramon Ruiz Arnau, Calle Laurel # 100 Urb. Santa Juanita, Bayamon, PR 00956 | 2010-11-16 |
| 1932438215 | New Vision Star Medical Group Inc | Clinic/Center | Bayamon Medical Mall # J-23, Bayamon, PR 00959-7200 | 2009-12-15 |
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| 1306494091 | Servicios Psiquiatricos Galateo LLC | Clinic/Center | Clinica Medicina Primaria, Carr #2 Km 112.2 Bo Mora, Isabela, PR 00623 | 2019-08-27 |
| 1356900468 | Smart Therapy Center | Clinic/Center | Carretera 802 Sector Rolo Pacheco, Corozal, PR 00783-0529 | 2019-06-12 |
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| 1902376221 | Health Mediator Inc. | Clinic/Center | Urb. Paseo Del Parque, Calle Caoba L-4, Juana Diaz, PR 00795-0079 | 2018-11-29 |
| 1639659469 | Opapa Organizacion En Pro De La Atencion A La Persona Con Alzheimer | Clinic/Center | Ave Hr Todd, Comercial 18 Suite 201, San Juan, PR 00924 | 2018-08-21 |
| 1275080079 | Ggr Medical Services, Inc. | Clinic/Center | 159 Calle Luis Munoz Rivera, San Lorenzo, PR 00754 | 2016-09-09 |
| 1194170175 | Instituto Fisiatrico De Aibonito Csp | Clinic/Center | 110 Calle Jose C Vazquez, Frente Hospital Menonita, Aibonito, PR 00705 | 2016-04-27 |
| 1346618790 | Ero Neurology Health Services P.s.c | Clinic/Center | 500 Ave Jesus Toribio Pinero, Cond Parque De Loyola Torre Sur Apt 1401, San Juan, PR 00918-1401 | 2015-09-02 |
| 1932519709 | Centro De Terapia Fisica La Montana Psc | Clinic/Center | Hc 72 Box 4047, Bo Cedro Arriba Carr 152 Km 11.7, Naranjito, PR 00719 | 2014-05-02 |
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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.