SOUTHEASTERN HEALTHCARE HOLDINGS LLC (NPI# 1467854877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467854877 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN HEALTHCARE HOLDINGS LLC |
| Practice Address |
1 Palmer Street Esq Vicente Pales Bo Pueblo Guayama PR 00785 |
| Mailing Address |
1551 Calle Alda Urb Caribe San Juan PR 00926-2709 |
| Practice Telephone | 7876252500 |
| Practice Fax Number | 7876793950 |
| Mailing Telephone | 7876252500 |
| Mailing Fax Number | 7876793950 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | DR. JOSE R SANTIAGO (PRESIDENT) |
| Authorized Official Telephone | 7876252500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 3254 | PR | Other Service Providers |
| Street Address |
1 PALMER STREET ESQ VICENTE PALES BO PUEBLO |
| City | GUAYAMA |
| State | PR |
| Zip Code | 00785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174143317 | Omar Candelario Valdivieso | Nutritionist | Urb. Guayama Valley Street 15 H-11, Guayama, PR 00785 | 2020-04-17 |
| 1669001285 | Giancarlo Colon Rosa | Student in an Organized Health Care Education/Training Program | Urb San Martin D2-a, Guayama, PR 00785 | 2020-04-06 |
| 1942771381 | Andres Joffre Fraticelli Sr. | Social Worker | Urb. Villa Rosa I Calle 6 A17, Guayama, PR 00785 | 2018-12-11 |
| 1962993782 | Gabriel Omar Covas | General Practice | Calle 4 C-7, Urb. Rexmanor, Guayama, PR 00785 | 2018-05-29 |
| 1700303526 | Phm Multidisiciplinary Clinic, LLC | Prevention Professional | Calle Palmer Esq Vicente Pales, Guayama, PR 00785 | 2017-08-23 |
| 1821510413 | Centro De Terapia Ocupacional Pediatrica Del Sureste LLC | Occupational Therapist | Ave Los Veteranos Calle 3, Guayama Medical Center, Guayama, PR 00785 | 2017-07-14 |
| 1922534742 | Jst Medical LLC | Registered Nurse | 1 Calle Palmer, Esquina Vicente Pales, Guayama, PR 00785 | 2017-05-11 |
| 1033659529 | Corp Fondo Del Seguro Del Estado | Clinic/Center | Carr 3 Km 0 Desvio Sur, Ave Pedro Albizu Campos, Guayama, PR 00785 | 2017-03-02 |
| 1881136000 | Mq Medical Plaza, Inc. | Clinic/Center | 1 Calle 1 350, Urbanizacion Villa Rosa, Guayama, PR 00785 | 2016-11-07 |
| 1427420090 | Brenda Liz Martinez | Nutritionist | Carr 3 Km 151.2, Bo. Coqui, Salinas, PR 00785 | 2015-10-22 |
| Find all providers in zip 00785 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750661831 | Sur Pediatric Emergency Services, Psc | Specialist | La Fuente Town Center, Suite 11123, Guayama, PR 00784-7333 | 2011-08-22 |
| 1639291487 | Luis Alberto Rodriguez Rivera | Specialist | Hospital Santa Rosa, Ave Los Veteranos, Carr 3 Km 135.7, Guayama, PR 00785 | 2007-04-04 |
| 1417040957 | Jose G Fourquet | Specialist | Calle 1#1, Urb. Gibraltar, Guayama, PR 00784 | 2006-10-02 |
| 1942269543 | Rafael Caballero-torres | Specialist | Ave Los Veteranos Esq Calle 2 Urb Villa Rosa I, Guayama, PR 00784 | 2006-03-22 |
| 1821061383 | Joel J. De Jesus | Specialist | Hospital San Lucas Guayama - Gastro, Guayama, PR 00784 | 2006-02-07 |
| 1750362018 | Olga W. Bermudez Ramirez | Specialist | Hosp. Episcopal Cristo Redentor, Box. 10011, Guayama, PR 00785 | 2005-11-11 |
| 1801883046 | Roberto Rodriguez Velez | Specialist | 100 Ave Los Veteranos, Hospital Santa Rosa, Guayama, PR 00784-5714 | 2005-10-03 |
| 1184715393 | Angel L Castaneda-rueda | Specialist | La Fuente Town Center 706 Calle Marginal, Suite 11120, Guayama, PR 00784 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1851992242 | Medical Specialty Clinic LLC | Specialist | 1012 Ave Peter Agapito Ortiz, Levittown, Toa Baja, PR 00949 | 2020-11-03 |
| 1588261150 | Moraima Rivera Rosado | Specialist | C-5 B-11, Urb. Riberas Del Rio, Bayamon, PR 00959 | 2020-10-06 |
| 1235753013 | Irene C Padin | Specialist | 48 Avenida Luis Munoz Rivera, Centro Plaza Leonardo Aviles, Camuy, PR 00627 | 2020-06-08 |
| 1881240984 | East Best Health, LLC | Specialist | 1540 Calle Bori, Urb. Belisa, San Juan, PR 00927-6116 | 2019-08-14 |
| 1255997979 | Eastern Consulting Group Inc | Specialist | 150 Ave Font Martelo Ste 1, Humacao, PR 00791-3346 | 2019-05-17 |
| 1104482819 | Magaly Ambert Guilbe | Specialist | 8169 Calle Concordia Edificio San Vicente Suite 412, Ponce, PR 00716 | 2019-05-17 |
| 1669934717 | Island Physician Management, LLC | Specialist | 35 Calle Juan C Borbon Ste 67-143, Guaynabo, PR 00969-5374 | 2019-04-05 |
| 1912477225 | Chris Marie Adams Vega | Specialist | 8169 Calle Concordia Edif. San Vicente, Suite 412, Ponce, PR 00717 | 2018-11-29 |
| 1154899128 | Phm Multidisciplinary Clinic LLC | Specialist | B11 Calle 2, Urbanizacion Villa Real, Vega Baja, PR 00693 | 2018-11-08 |
| 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.