PERSONAL HOME PHYSICIAN (NPI# 1487678736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487678736 |
| Entity Type | Organization |
| Organization Name | PERSONAL HOME PHYSICIAN |
| Practice Address |
Carr. 31 Juncos Plaza Local D-2 Juncos PR 00777 |
| Mailing Address |
Po Box 1221 Juncos PR 00777-1221 |
| Practice Telephone | 7877136505 |
| Practice Fax Number | 7877136505 |
| Mailing Telephone | 7877136505 |
| Mailing Fax Number | 7877136505 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2012-02-23 |
| Authorized Official Name | MR. IVAN R. RODRIGUEZ (PRESIDENT) |
| Authorized Official Telephone | 7877136505 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | 15093 | PR | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 15093 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
CARR. 31 JUNCOS PLAZA LOCAL D-2 |
| City | JUNCOS |
| State | PR |
| Zip Code | 00777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678321 | Debiam Olmeda | Social Worker | Carr. 929 Km 1.5 Bo. Lirios, Juncos, PR 00777 | 2020-10-30 |
| 1932725090 | Michelle Marie Torres Merstre | Psychologist | Urb La Ceiba Calle Caobo 89, Juncos, PR 00777 | 2020-06-24 |
| 1578199717 | Lourdes Del R. Umpierre Fernandez | Psychologist | Villas De La Central Victoria D-21, Calle Conuco, Juncos, PR 00777 | 2020-03-19 |
| 1669004420 | Rlr LLC | Pharmacy | Paseo Escute #58, Suite 2 Sector Mamey, Juncos, PR 00777 | 2020-02-10 |
| 1255974986 | Yesenia Santana | Psychologist | K 20.1 Bario Pinas Km 20.1, Juncos, PR 00777 | 2019-10-25 |
| 1346890159 | Jessica Alicea Barriera | Technician/Technologist | Urb Paseo De La Ceiba 212 Calle Areca, Juncos, PR 00777 | 2019-09-13 |
| 1245891373 | S&d Healthcare Solutions LLC | Spec/Tech, Health Info | Urb Lirios Cala, B39 Calle San Felipe, Juncos, PR 00777 | 2019-06-28 |
| 1609437037 | Ludy E. Reyes Gonzalez | Ambulance | I18 Calle Cindya, Urb El Encanto, Juncos, PR 00777 | 2019-06-26 |
| 1013578426 | Alexander Castro Acevedo | General Practice | Carr 31 Km 20.5 Sector Rosalia, Barrio Gurabo Arriba, Juncos, PR 00777 | 2019-06-26 |
| 1548825706 | Mely Z Gonzalez Madera V | Social Worker | Urbanizacion Villas Central Victoria, 17 Calle Escarpia, Juncos, PR 00777 | 2019-05-03 |
| Find all providers in zip 00777 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043338122 | Occupational & Aesthetic Medicine Services, Csp | Family Medicine | Carr 31 Juncos Plaza, Local D-2, Juncos, PR 00777 | 2007-03-27 |
| 1760514194 | Mildred S Diaz Cruz | Family Medicine | Calle Daniel Flores # 10, Juncos, PR 00777 | 2007-03-12 |
| 1346275476 | Nannette Berrios | Family Medicine | Calle Pedro Cruz Marginal #52, Urb Valencia I, Juncos, PR 00777 | 2006-07-11 |
| 1104808807 | Centro De Medicine De Familia De Juncos | Family Medicine | Pedro Cruz Marginal #52 Urb Valencia #1, Juncos, PR 00777 | 2005-11-17 |
| 1821085739 | Ivan Rafael Rodriguez Colon | Family Medicine | Street Number 31, Local D 2 Juncos Plaza, Juncos, PR 00777-1221 | 2005-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932752 | Dr Gustavo Cedeno Quintero Psc | Family Medicine | 58 Calle Eduardo Georgetti, Vega Alta, PR 00692-7096 | 2020-11-03 |
| 1528668720 | Antenor Xavier Aviles | Family Medicine | Carretera 349, Km 2.7, Mayaguez, PR 00680 | 2020-10-27 |
| 1598381501 | Yalisse Linette Rodriguez Torres | Family Medicine | Valle Alto 1794 Llanura, Ponce, PR 00730 | 2020-06-25 |
| 1750907390 | Grupo Integrado Medicina Primaria Inc | Family Medicine | Carretera 778 Km. 9, Bo Pasarell Pueblo, Comero, PR 00782-8888 | 2020-06-19 |
| 1326664160 | Lislie Lisete Gonzalez Veitia | Family Medicine | Manati Medical Center, Calle Hernandez Carrion, Manati, PR 00674 | 2020-06-17 |
| 1568087468 | Grupo Integrado Medicina Primaria | Family Medicine | 200 Ave El Jibaro, Cidra, PR 00739-3511 | 2020-06-16 |
| 1316562093 | Jose Antonio Hernandez | Family Medicine | Calle Monsenor #3 Moca Puerto Rico 00676, Calle Reinita #30 Moca Puerto Rico 00676, Moca, PR 00676 | 2020-06-09 |
| 1740804863 | Alejandro Javier Berrocal Bravo | Family Medicine | 410 Ave Hostos Ste 2, Mayaguez, PR 00682-1500 | 2020-06-04 |
| 1649890542 | Jeniffer Borrero | Family Medicine | 3 Bosque Del Rio, Trujillo Alto, PR 00976 | 2020-04-21 |
| 1649809260 | Kathy A. Caraballo Rivera,psc | Family Medicine | Bayamon Medical Center, Carr #2 Km 11.7, Bayamon, PR 00959 | 2020-04-06 |
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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.