CHAMPI MEDICAL AND WELLNESS GROUP CORP (NPI# 1386046837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386046837 |
| Entity Type | Organization |
| Organization Name | CHAMPI MEDICAL AND WELLNESS GROUP CORP |
| Practice Address |
107 Calle Maria Monagas Local #1 Esq 65 Infanteria Mental Health Division Anasco PR 00610 |
| Mailing Address |
Po Box 619 Anasco PR 00610-0619 |
| Practice Telephone | 7872291223 |
| Practice Fax Number | 7872291332 |
| Mailing Telephone | 7872291223 |
| Mailing Fax Number | 7872291332 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |
| Authorized Official Name | DR. COSMARIE M CORTES-RIVERA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7872291223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PR | Behavioral Health & Social Service Providers | |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
PR | Ambulatory Health Care Facilities | |
| Y | 103G00000X | Clinical Neuropsychologist | PR | Behavioral Health & Social Service Providers |
| Street Address |
107 CALLE MARIA MONAGAS LOCAL #1 ESQ 65 INFANTERIA MENTAL HEALTH DIVISION |
| City | ANASCO |
| State | PR |
| Zip Code | 00610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639518095 | Champi Medical and Wellness Group | Registered Nurse | 107 Calle Maria Monagas Local #1, Esquina 65 Infanteria, Anasco, PR 00610 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572601 | Tania Y Colon Vega | General Practice | Bo Pinales Carr 402 Km 5.7, Anasco, PR 00610 | 2020-09-15 |
| 1558971200 | Ingrid Brignoni Perez | Pharmacist | Bo Playa Carr 401 Km 0.9, Farmacia Tres Hermanos, Anasco, PR 00610 | 2020-08-07 |
| 1659980860 | Vital Emergency Response LLC | Ambulance | Street 402 Km 2.4 Interior Bo Quebrada Larga, Anasco, PR 00610 | 2020-07-24 |
| 1760008395 | West Spine Chiropractic | Clinic/Center | Carr #2 Km 153 Bo Guanajibo, Mayaguez, PR 00610 | 2020-06-19 |
| 1871129510 | Speech R' Us Corp. | Occupational Therapist | Edificion Bianca, Carr. 2, Km 14.3, Anasco, PR 00610 | 2020-03-13 |
| 1568097376 | Nelson Gabriel Castillo Rivera | Student in an Organized Health Care Education/Training Program | Bo. Carreras, Carr. 405, Km. 1.9, Anasco, PR 00610 | 2020-03-12 |
| 1245878701 | Lesley Arcelay Feliciano | Pharmacist | Carr 402 Km 2.9 Bo Quebrada Larga, Anasco, PR 00610 | 2019-12-16 |
| 1588210595 | Luis A Ferrer | Social Worker | Carr 402 Km 4.0, Bo Caracol, Anasco, PR 00610 | 2019-08-15 |
| 1164080552 | Raquel Tres Gonzalez Gonzalez | Pharmacy Technician | Carr 401 Km 0.9 Bo Playa, Mayaguez, PR 00610 | 2019-05-31 |
| 1528531746 | David Whitehouse | Radiology | Plaza Salcedo Suite 4, Carr 109 Km 2.5, Anasco, PR 00610 | 2019-01-10 |
| Find all providers in zip 00610 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170486 | Liviu Morogan | Clinical Neuropsychologist | K5 Calle 1 Urb La Milagrosa, Bayamon, PR 00959-0095 | 2018-10-23 |
| 1942738570 | Greistar Mental & Physical Health, LLC | Clinical Neuropsychologist | 1226 Calle Cadiz, Urb. Puerto Nuevo, San Juan, PR 00920-3841 | 2017-05-26 |
| 1003226150 | Yamilet Escabi | Clinical Neuropsychologist | Carr 2 Bo. Algarrobos Km 150.6, Suite 2, Mayaguez, PR 00682-6326 | 2014-04-29 |
| 1063754224 | Aixa Castillo Morales | Clinical Neuropsychologist | 5 Rio Piedras Vly, San Juan, PR 00926-1426 | 2013-03-26 |
| 1942570882 | Ruth Johanna Lopez | Clinical Neuropsychologist | Urb. Sabanera Dorado, # 484 Camino El Yunque, Dorado, PR 00646 | 2012-01-10 |
| 1437436532 | Alexandra Figueroa | Clinical Neuropsychologist | Calle Earle 3 Condominio Playa Del Rey Apt 401, San Juan, PR 00907 | 2011-11-03 |
| 1790068948 | Mary A Moreno-torres | Clinical Neuropsychologist | Ave Rafael Cordero # 35, Esq. Vizcarrondo, Caguas, PR 00726 | 2011-09-23 |
| 1245472133 | Leonardo Roberto Cruz | Clinical Neuropsychologist | 1788 Calle Astromelia, Mansiones De Rio Piedras, San Juan, PR 00926-7221 | 2009-03-24 |
| 1033392147 | Elixmahir Davila-marrero | Clinical Neuropsychologist | 11 Calle 2 E, Urb. Santa Cruz, Bayamon, PR 00961-3516 | 2007-12-11 |
| 1982750915 | Maria T. Margarida | Clinical Neuropsychologist | 40 Calle Geranio, San Juan, PR 00927-6556 | 2007-01-25 |
| 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.