PHM MULTIDISCIPLINARY CLINIC, LLC (NPI# 1467979286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467979286 |
| Entity Type | Organization |
| Organization Name | PHM MULTIDISCIPLINARY CLINIC, LLC |
| Other Organization Name | CLINICA DE ARECIBO |
| Practice Address |
Bo San Daniel Km 81.3 Arecibo PR 00612 |
| Mailing Address |
1551 Calle Alda Ste 201 San Juan PR 00926-2709 |
| Practice Telephone | 7876502732 |
| Practice Fax Number | 7876502734 |
| Mailing Telephone | 7876502732 |
| Mailing Fax Number | 7876502734 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |
| Authorized Official Name | MRS. WALESKA MARRERO (MEDICAL AND HEALTH SERVICES DIRECTO) |
| Authorized Official Telephone | 7874078764 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Clinica de Arecibo | Other Name - Individual/Organization |
| Street Address |
BO SAN DANIEL KM 81.3 |
| City | ARECIBO |
| State | PR |
| Zip Code | 00612 |
| 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 | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700303526 | Phm Multidisiciplinary Clinic, LLC | Prevention Professional | Calle Palmer Esq Vicente Pales, Guayama, PR 00785 | 2017-08-23 |
| 1720505548 | Phm Multidisciplinary Clinic LLC | Prevention Professional | Bo. Victoria Carretera 2 Km 129.3, Aguadilla, PR 00603 | 2017-08-23 |
| 1003332552 | Raul Correa | Prevention Professional | Calle 700 Manuel Pavia Street, Suite 301, San Juan, PR 00909 | 2017-08-16 |
| 1104342658 | Elizabeth Pabon Lugo | Prevention Professional | 700 Calle Doctor Pavia Fernandez, Suite 301, San Juan, PR 00909 | 2017-08-16 |
| 1013431147 | Stephanie Landrau Serrano | Prevention Professional | 700 Calle Dr Pavia Fernandez Ste 301, San Juan, PR 00909-2757 | 2017-07-31 |
| 1225564313 | Neishma Medina | Prevention Professional | 206 Calle Emeterio Hernandez, Paseo De Los Artesanos, Las Piedras, PR 00771-9671 | 2017-05-10 |
| 1225560212 | Centro De Vacunacion Sab | Prevention Professional | 5 Calle Pedro Albizu Campos, Aguas Buenas, PR 00703 | 2017-03-30 |
| 1225576580 | Maria Delgado | Prevention Professional | Carr. 600 Km 6.9, Angeles, PR 00611-0639 | 2017-02-07 |
| 1194184721 | Health Solution Corp | Prevention Professional | 1576 Villa Olimpica, San Juan, PR 00929-0000 | 2016-02-10 |
| 1952928228 | Joel Andres Rios Rodriguez | Prevention Professional | 388 Zona Ind Reparada 2, Ponce, PR 00716-2347 | 2020-07-02 |
| 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.