EASTERN SURGICAL GROUP PSC (NPI# 1477841864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477841864 |
| Entity Type | Organization |
| Organization Name | EASTERN SURGICAL GROUP PSC |
| Practice Address |
Ave General Valero # 410 Torre Medica 403 Fajardo PR 00738-3949 |
| Practice Telephone | 7876554006 |
| Practice Fax Number | 7878010721 |
| Mailing Telephone | 7876554006 |
| Mailing Fax Number | 7878010721 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-09-01 |
| Authorized Official Name | DR. MIGUEL A DE JESUS RAMOS (PRESIDENT) |
| Authorized Official Telephone | 7876554006 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 18210 | PR | Other Service Providers |
| Y | 174400000X | Specialist | 12253 | PR | Other Service Providers |
| Street Address |
AVE GENERAL VALERO # 410 TORRE MEDICA 403 |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738-3949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497045256 | Ard Cardiology Psc | Exclusive Provider Organization | Ave General Valero # 410, Torre Medica 202, Fajardo, PR 00738-3949 | 2011-04-13 |
| 1538592886 | Centro Dermatologico Del Este Dra Elena Nogales Psc | Dermatology | Ave General Valero # 410, Torre Medica Hima San Pablo Ofc 402, Fajardo, PR 00738-3949 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| 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 |
|---|---|---|---|---|
| 1962807453 | Ha Medical Services Psc | Specialist | 222 Ave B, Santa Isidra I, Fajardo, PR 00738-4978 | 2014-10-27 |
| 1467657262 | Cirugia General Y Periferovascular Del Noreste, Csp | Specialist | Hosp. Hima San Pablo, Oficina #7, Fajardo, PR 00738 | 2007-06-20 |
| 1750428884 | Independent Medical Services | Specialist | Ave. Principal G-5 Urb. Baralt, Fajardo, PR 00738 | 2007-01-30 |
| 1891883351 | Esther Rivera | Specialist | General Valero Ave., #313-b, Fajardo, PR 00738-0738 | 2006-10-10 |
| 1932112257 | Jose R Alvarez-ruiz | Specialist | Hosp. Hima-san Pablo, Fajardo, Ave, General Valero 404, Fajardo, PR 00738 | 2006-08-15 |
| 1295775856 | Maritza Melendez Nieves | Specialist | 302 Ave General Valero, Fajardo, PR 00738 | 2006-06-08 |
| 1528339900 | Muerk Internal Medicine Group | Specialist | 10 Calle Union E, Suite 108, Fajardo, PR 00738-4817 | 2012-01-18 |
| 1760688006 | Lydia M. Lugo | Specialist | 375 Ave Gen Valero, Suite 105, Fajardo, PR 00738-4893 | 2007-06-25 |
| 1003931726 | Sara Lopez | Specialist | Ave General Valero 303, Fajardo, PR 00738 | 2007-03-20 |
| 1316055890 | Luis A. Gonzalez-alonso | Specialist | 410 Ave General Valero, Suite 503, Fajardo, PR 00738-3949 | 2006-08-26 |
| Find all providers in FAJARDO | ||||
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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.