STAR KIDS CLUB-CBS PREDIATRIC


Address: 101 Ave San Patricio, Maramar Plaza, Guaynabo, PR 00968-2645
Phone: 7874740400

STAR KIDS CLUB-CBS PREDIATRIC (NPI# 1457633448) 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) 1457633448
Entity Type Organization
Organization Name STAR KIDS CLUB-CBS PREDIATRIC
Practice Address 101 Ave San Patricio
Maramar Plaza
Guaynabo
PR 00968-2645
Practice Telephone 7874740400
Mailing Telephone 7874740400
Enumeration Date 2011-09-15
Last Update Date 2011-09-15
Authorized Official Name DR. CARMEN FRANCESCHI (PRESIDENT)
Authorized Official Telephone 7879469693
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization 1128 PR Managed Care Organizations

Office Location

Street Address 101 AVE SAN PATRICIO
MARAMAR PLAZA
City GUAYNABO
State PR
Zip Code 00968-2645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649240813 Carmen L Baez-franceschi Specialist 101 Ave San Patricio, Maramar Plaza, Suite 1060, Guaynabo, PR 00968-2645 2006-01-23
1275959884 Puerto Rico Citylabs LLC Clinical Medical Laboratory 101 Ave San Patricio, Maramar Plaza, Suite G2, Guaynabo, PR 00968-2645 2014-03-07
1003168675 San Patricio Dental, LLC Dentist 101 Ave San Patricio, Maramar Plaza Suite 1210, Guaynabo, PR 00968-2645 2012-10-08
1801145958 Juliana Pollock Physical Therapist 101 Ave San Patricio, Suite 1150, Guaynabo, PR 00968-2645 2012-09-05
1164771622 Gybelle, PC Obstetrics & Gynecology 101 Ave San Patricio, Maramar Plaza Suite 1090, Guaynabo, PR 00968-2645 2012-08-30
1144596537 Centro De Periodoncia E Implantes De Pr, Psc Dentist 101 Ave San Patricio, Ste. 830, Guaynabo, PR 00968 2012-03-29
1780975227 Lisandra Pagan Santiago Obstetrics & Gynecology 101 Ave San Patricio, Suite 1130, Guaynabo, PR 00968-2645 2011-05-02
1386959633 Juan Carlos Malpica-santiago Internal Medicine 101 Ave San Patricio, Suite 1240, Guaynabo, PR 00968-3057 2010-08-11
1629392527 Ricardo A Hernandez-castillo Internal Medicine 101 Ave San Patricio, Maramar Plaza Suite 1240, Guaynabo, PR 00968 2010-03-22
1699004366 Caribbean Urogynecology Associates Psc Obstetrics & Gynecology 101 Ave San Patricio, Maramar Plaza Suite 1090, Guaynabo, PR 00968-2645 2009-12-09
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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Competitor

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City GUAYNABO
Zip Code 00968

Improve Information

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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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