POLICLINICA FAMILIAR SHALOM INC (NPI# 1619580321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619580321 |
| Entity Type | Organization |
| Organization Name | POLICLINICA FAMILIAR SHALOM INC |
| Practice Address |
25 Calle Mendez Vigo W Mayaguez PR 00680-6756 |
| Mailing Address |
Po Box 903 Quebradillas PR 00678-0903 |
| Practice Telephone | 7878961850 |
| Practice Fax Number | 7872809497 |
| Mailing Telephone | 7878961850 |
| Mailing Fax Number | 7872809497 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Authorized Official Name | VIVIAN FELICIANO NIEVES (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7878961850 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SERVICIOS PREVENTIVOS DE SALUD DE MAYAGUEZ PUERTO RICO | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427579168 | Policlinica Familiar Shalom Inc | Emergency Medicine | Carr 2 Km 101.6 Calle Marginal Del Parque, Bo Terranova, Quebradillas, PR 00678 | 2017-07-03 |
| 1992233522 | Policlinica Familiar Shalom Inc | Preventive Medicine | Carr #2 Km 101.6, Barrio Terranova Calle Harginal Del Parque Quebradillas, Quebradillas, PR 00678 | 2017-05-26 |
| 1831302173 | Policlinica Familiar Shalom Inc | General Practice | Bo Terranova Calle Marginal Del Parque, Quebradillas, PR 00678 | 2007-05-07 |
| Street Address |
25 CALLE MENDEZ VIGO W |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00680-6756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498557 | Centro De Diagnostico Y Tratamiento De San Sebastian Inc | Preventive Medicine | 25 Calle Mendez Vigo W, Mayaguez, PR 00680-6756 | 2020-08-21 |
| 1346857232 | Servicios Preventivos De Salud De Puerto Rico, Corp. | Preventive Medicine | 25 Calle Mendez Vigo W, Mayaguez, PR 00680-6756 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668720 | Antenor Xavier Aviles | Family Medicine | Carretera 349, Km 2.7, Mayaguez, PR 00680 | 2020-10-27 |
| 1053919027 | Eyda Yesmin Inigo | Psychologist | Urb. Colinas De Alturas De Mayaguez 2020, Mayaguez, PR 00680 | 2020-10-13 |
| 1033717343 | Yalizeth Katiuska Rivera Gonzalez | Psychologist | Carr 348 Km 7.2, Bo Rosario, Mayaguez, PR 00680 | 2020-10-09 |
| 1699372797 | Stephanie Hernandez | Psychologist | Medical Center Plaza 740 Ave. Hostos, Suite 213, Mayaguez, PR 00680 | 2020-10-02 |
| 1346855863 | Victor Ramon Madera | Assisted Living Facility | Avenida Ramon Arbona 1050, Barrio Sabalos, Mayaguez, PR 00680 | 2020-09-11 |
| 1396358479 | Meddyg Group LLC | General Practice | 7 Calle Ramon Emeterio Betnaces, Esquina De Diego, Mayaguez, PR 00680 | 2020-08-28 |
| 1275146631 | Tatiana Velez-burgos | Dietitian, Registered | Rd 348 Km 3.0 Interior, Bo. Quebrada Grande, Mayaguez, PR 00680 | 2020-08-26 |
| 1962013441 | Yeileen Concepcion Hernandez | Psychologist | Edif. Centro Del Oeste, Calle Relampago #70 Oficina 104, Mayaguez, PR 00680 | 2020-08-10 |
| 1245840461 | Natasha Mederos Rocha | Student in an Organized Health Care Education/Training Program | Urb. Los Versalles Calle Reina #2209, Mayaguez, PR 00680 | 2020-08-03 |
| 1255957908 | Alexander Enrique Benitez Rodriguez | General Practice | Carr. 106 Km. 13.8 Bo. Naranjales, Mayaguez, PR 00680 | 2020-06-18 |
| Find all providers in zip 00680 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498557 | Centro De Diagnostico Y Tratamiento De San Sebastian Inc | Preventive Medicine | 25 Calle Mendez Vigo W, Mayaguez, PR 00680-6756 | 2020-08-21 |
| 1346857232 | Servicios Preventivos De Salud De Puerto Rico, Corp. | Preventive Medicine | 25 Calle Mendez Vigo W, Mayaguez, PR 00680-6756 | 2020-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023654316 | Corporacion De Salud Asegurada Por Nuestra Organizacion Solidaria, Inc | Preventive Medicine | Plaza Los Prados Shopping Center, Caguas, PR 00725 | 2019-11-21 |
| 1386293199 | Centro De Vacunacion Del Norte LLC | Preventive Medicine | Bo Sabana Carr 693 Km 14, Vega Alta, PR 00692 | 2019-09-05 |
| 1538716261 | Rednostic Medical, Psc | Preventive Medicine | 898 Munoz Rivera Ste 300 Hyde Park, San Juan, PR 00927 | 2019-08-19 |
| 1619430360 | Clinica Las Americas Guaynabo | Preventive Medicine | Boulevard Del Rio Ramal 3, Plaza Office Center, Humacao, PR 00791 | 2019-04-10 |
| 1700349453 | Clinica Las Americas Guaynabo | Preventive Medicine | Local 49 Ave. Pino Carr 172, Plaza Del Carmen Mall, Caguas, PR 00725 | 2019-04-10 |
| 1992268643 | Clinica Las Americas Guaynabo | Preventive Medicine | 1825 Calle Navarra Suite 301, Edif Torre Sofia 3er Piso, Ponce, PR 00717 | 2019-04-10 |
| 1891258687 | Clinica Las Americas Guaynabo | Preventive Medicine | Carr.2 Km.129.3, Barrio Victoria, Aguadilla, PR 00603 | 2019-04-09 |
| 1164916714 | Rmg Managment LLC | Preventive Medicine | Carretera 2 Km119.1 Caimital Alto, Aguadilla, PR 00603 | 2018-06-18 |
| 1235621012 | Pro Clinic Health, Psc | Preventive Medicine | 8 Avenida Las Cumbres Km 1.2, Guaynabo, PR 00970 | 2018-06-06 |
| 1992233522 | Policlinica Familiar Shalom Inc | Preventive Medicine | Carr #2 Km 101.6, Barrio Terranova Calle Harginal Del Parque Quebradillas, Quebradillas, PR 00678 | 2017-05-26 |
| 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.