LABORATORIO PERIFEROVASCULAR CSA, INC. (NPI# 1457788226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457788226 |
| Entity Type | Organization |
| Organization Name | LABORATORIO PERIFEROVASCULAR CSA, INC. |
| Practice Address |
622 Ave San Luis Carr. 129 Arecibo PR 00612-0575 |
| Mailing Address |
Po Box 575 Arecibo PR 00613-0575 |
| Practice Telephone | 7878794632 |
| Practice Fax Number | 7878815762 |
| Mailing Telephone | 7878794632 |
| Mailing Fax Number | 7878815762 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2014-06-19 |
| Authorized Official Name | LILLIBETH CASTRO (ADMINISTRATOR) |
| Authorized Official Telephone | 7878794632 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 207R10011X | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | INTERVENTIONAL CARDIOLOGY | 6407 | 01 |
| PR | INTERNAL MEDICINE | 207R10011X | 01 |
| PR | DEA | AS1610953 | 01 |
| Street Address |
622 AVE SAN LUIS CARR. 129 |
| City | ARECIBO |
| State | PR |
| Zip Code | 00612-0575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124929 | Grace Marie Gonzalez | Physician Assistant | Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612 | 2020-11-06 |
| 1043811219 | Patricia Alejandra Alcantara | Psychologist | Arecibo Medical Plaza, 65 Ave Jose Celso Barbosa, Suite 201, Arecibo, PR 00612 | 2020-11-04 |
| 1982203980 | Advanced Gi Solutions LLC | Internal Medicine | Metropolitan Office Building Bo Pueblo Calle Jose De Di, Arecibo, PR 00612 | 2020-10-21 |
| 1922606136 | Isabel R Pogozelski | Registered Nurse | Condominio Terrazul 9, Arecibo, PR 00612 | 2020-10-12 |
| 1003413931 | Luis Jose Nieves Rivera | Physician Assistant | Carr #2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-10-05 |
| 1619583358 | Emanuel Rivera Rivera | Emergency Medical Technician, Basic | Bo. Santana, Arecibo, PR 00612 | 2020-09-18 |
| 1326653874 | Sea Hunt Ambulance Inc | Ambulance | Bo Islote Sec Parcela, Islote 2 C/8 Casa 27, Arecibo, PR 00612 | 2020-09-11 |
| 1053926451 | Los Pinos Medical Center LLC | Dietitian, Registered | Bo Santana Zona Industrial, Carr #2 Km 67.7, Arecibo, PR 00612 | 2020-09-11 |
| 1609481449 | Ipa Policlinica Familiar Factor Doctores Nieves, Csp | Clinic/Center | Carr 2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-09-09 |
| 1598370363 | Azzaro Health Medical LLC | General Practice | Urb. Vista Mar Calle Adriano Gonzalez # 14, Arecibo, PR 00612 | 2020-09-09 |
| Find all providers in zip 00612 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811419252 | Metro Pavia Healthcare Center | Clinic/Center | Zona Industial Victir Rojas II, Arecibo, PR 00613 | 2017-07-07 |
| 1205249828 | Magdalena Perez | Clinic/Center | 108 Ave De Diego, Arecibo, PR 00612 | 2014-06-11 |
| 1801198650 | Clinicas De Medicinadel Norte Csp | Clinic/Center | Carr.#2 Km 62.8 Bo. Candelaria, Arecibo, PR 00612-0000 | 2010-11-30 |
| 1831343276 | Seccion A Ninos Con Necesidades Especiales De Salud | Clinic/Center | Centro Pediatrico De Arecibo Vacunacion, Avenida San Luis # 621, Arecibo, PR 00616-3666 | 2008-11-12 |
| 1487795563 | Rafaelito B. Santos Tejeda | Clinic/Center | 155 Calle Heraclio Ramos, Arecibo, PR 00612-4635 | 2007-02-09 |
| 1689996647 | Markan Medicine Csp | Clinic/Center | 115 Calle Ariosto Cruz, Arecibo, PR 00612-4745 | 2010-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131625 | Inmuni, LLC | Clinic/Center | Carr 417 Km 4.5, Bo. Asomante, Aguada, PR 00602 | 2020-10-16 |
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1588270490 | Phm Multidisciplinary Clinic Cabo Rojo LLC | Clinic/Center | Pr 100, Galeria 100 Shopping Center Lot No. 13, Cabo Rojo, PR 00623 | 2020-09-17 |
| 1801408489 | Vaccines & Vitamins Wellness Center | Clinic/Center | 293 Ave Winston Churchill, San Juan, PR 00926-6604 | 2020-08-17 |
| 1366060766 | Prepven Corp | Clinic/Center | 315 Calle Manuel Domenech Ste 1, San Juan, PR 00918-3513 | 2020-07-12 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1144852138 | Sebastian Quinones | Clinic/Center | Urb Caparra Hills, E-6 Calle Eucalipto, Guaynabo, PR 00968 | 2020-02-07 |
| 1174161160 | Pm Health Corp | Clinic/Center | Urb. Villa Universitaria Calle 26a Ba 10, Humacao, PR 00971 | 2019-12-20 |
| 1710524855 | Empresas Jkp LLC | Clinic/Center | Hospital Doctors Center Torre Medica II Carr 2 Km 47.8, Suite 151 B, Manati, PR 00674 | 2019-12-09 |
| 1881231546 | Le Petit Vision Center LLC | Clinic/Center | Consolidated Mall C-22, Ave Gautier Benitez 202, Caguas, PR 00725-9998 | 2019-12-02 |
| 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.