ALIANSA DE SALUD PRIMARIA INC. (NPI# 1538559596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538559596 |
| Entity Type | Organization |
| Organization Name | ALIANSA DE SALUD PRIMARIA INC. |
| Practice Address |
#14 Calle Betances Santa Isabel PR 00757 |
| Mailing Address |
Po Box 816 Santa Isabel PR 00757-0816 |
| Practice Telephone | 7878456000 |
| Practice Fax Number | 7878458014 |
| Mailing Telephone | 7878456000 |
| Mailing Fax Number | 7878458014 |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |
| Authorized Official Name | MRS. KAREN M CRUZ (ADMINISTRATOR) |
| Authorized Official Telephone | 7878456000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | PR | Managed Care Organizations |
| Street Address |
#14 CALLE BETANCES |
| City | SANTA ISABEL |
| State | PR |
| Zip Code | 00757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968487 | Clinica De Terapias Santa Isabel Inc | Clinic/Center | Calle Baldorioty #21c, Santa Isabel, PR 00757 | 2020-10-05 |
| 1649881830 | Zolmari Rivera | Registered Nurse | Urb Portales De Jacaranda B27, Santa Isabel, PR 00757 | 2020-08-12 |
| 1053921122 | Rafael Caballero | Physician Assistant | Urb Hacienda Isabel, Calle 3 Num 22, Santa Isabel, PR 00757 | 2020-08-04 |
| 1831716638 | Shirley I Zayas | Social Worker | Barrio Jauca Sector Canta Sapo Carretera 1 Interior, Santa Isabel, PR 00757 | 2020-06-29 |
| 1639701626 | Veronica Lilyana Torres Torres | Student in an Organized Health Care Education/Training Program | Urb. Brisas Del Prado Gaviota St. E-6, Santa Isabel, PR 00757 | 2020-02-07 |
| 1073143400 | Julio Enrique Santos-marroig | Pharmacist | Calle Betances 18, Santa Isabel, PR 00757 | 2020-01-24 |
| 1487293973 | Sharon Loren Diaz | Social Worker | Paseo Del Mar Ll, Calle Sabalo D 14, Santa Isabel, PR 00757 | 2019-12-31 |
| 1336790898 | Municipio De Santa Isabel | Clinical Medical Laboratory | Calle Hostos #89 Final, Santa Isabel, PR 00757 | 2019-09-26 |
| 1689238321 | Jose Rafael Martinez | Social Worker | Urb Jardines De Santa Isabel, D1 Calle 5, Santa Isabel, PR 00757 | 2019-04-29 |
| 1205499340 | Anthony Agosto | General Practice | Calle 50 Luis Munoz Rivera, Santa Isabel, PR 00757 | 2019-04-15 |
| Find all providers in zip 00757 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598090987 | Corporacion De Medicos Primarios | Exclusive Provider Organization | Betances St., #14, Santa Isabel, PR 00757 | 2009-10-02 |
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| 1184039141 | Centro Obstetrico Y Ginecologico Incorporado | Exclusive Provider Organization | B9 Ave Los Veteranos, Urb Villa Rosa IIi, Guayama, PR 00784 | 2014-06-27 |
| 1659785673 | Jmg Surgical Services Psc | Exclusive Provider Organization | 15 Doctor Basora, Hospital Perea, Mayaguez, PR 00680 | 2014-06-18 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ISABEL |
| Zip Code | 00757 |
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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.