SELF EMPLOYED (NPI# 1639208085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639208085 |
| Entity Type | Organization |
| Organization Name | SELF EMPLOYED |
| Practice Address |
442 Calle Flandes San Juan PR 00923-1712 |
| Practice Telephone | 7875184106 |
| Mailing Telephone | 7875184106 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. MARILU VELEZ (NURSE) |
| Authorized Official Telephone | 7875184106 |
| Authorized Official Credential | BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 22359 | PR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942616214 | Self Employed | Home Health Aide | 7634 Kelvinway Dr, Worthington, OH 43085-5304 | 2014-07-08 |
| 1033582291 | Self Employed | Skilled Nursing Facility | 74 Mill Dr, Mastic Beach, NY 11951-1403 | 2015-11-09 |
| 1205224904 | Self Employed | Speech-Language Pathologist | 11608 W 101st Ter, Overland Park, KS 66214-2710 | 2015-01-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SELF EMPLOYED | 10 St Patrick Pl, Ballston Lake, NY 12019-1840 |
| System for Award Management (SAM) Entities | SELF EMPLOYED COMMERCIAL FISHING | 2043 Jakes Little Fireweed Ln, Homer, AK 99603-9319 |
| Colorado Business Entities | Self Employed Insurance Services, Inc. | 4610 S. Ulster Street, Suite150, Denver, CO 80237 |
| Washington State Corporations | SELF EMPLOYED LLC | 406 Bangor Ave, Lubbock, TX 79416-4323 |
| Colorado Business Entities | Self Employed Services, LLC | 4610 S. Ulster Street, Suite150, Denver, CO 80237 |
| Colorado Business Entities | Self Employed Single Dad, LLC | 8641 E. Dry Creek Rd., Unit 514, Centennial, CO 80112 |
| Street Address |
442 CALLE FLANDES |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00923-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997862 | Lazo Social, LLC | Clinic/Center | 419 Jose De Diego Street, Suite 9, San Juan, PR 00923 | 2020-09-23 |
| 1023624442 | Growing Up Therapy and Research Center | Occupational Therapy Assistant | 322 Calle Badajoz, Valencia Suites A-1, San Juan, PR 00923 | 2020-09-21 |
| 1417574351 | A R Med Transport | Non-emergency Medical Transport (VAN) | Calle Barranquitas 516 Reparto America, Reparto America, Sj, PR 00923 | 2020-06-26 |
| 1285255653 | Jorge Luis Reyes-mendoza | Registered Nurse | Lopez Sicardo Ave. Bldg. B18 Apt. 208, Res. Manuel A. Perez, San Juan, PR 00923 | 2020-04-27 |
| 1497389290 | Ileana Burgos | Psychologist | Calle De Diego Cond. De Duego Chalets 474, San Juan, PR 00923 | 2020-03-02 |
| 1295390292 | Nathalie E Alvarez | Speech-Language Pathologist | Calle Santa Rosa, Urb Altamesa, San Juan, PR 00923 | 2019-05-06 |
| 1457821431 | Jonathan Guzman Cruz | Pharmacist | Montehiedra, Los Romeros Ave. Rio Piedras, San Juan, PR 00923 | 2018-12-03 |
| 1508352667 | Anthony Francisco Rivera Betancourt Sr. | Non-emergency Medical Transport (VAN) | Calle Barranquitas, 516 Reparto America, San Juan, PR 00923 | 2018-07-02 |
| 1811482029 | Enid M. Gonzalez | Dietitian, Registered | Calle De Diego 369 Torre San Francisco, Suite 507, San Juan, PR 00923 | 2018-06-29 |
| 1407347909 | Hildabelis Martinez-diaz | Pathology | 771 Calle Teodoro Aguilar, Urb. Los Maestros, San Juan, PR 00923 | 2018-05-21 |
| Find all providers in zip 00923 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1588299333 | Yanelis Perez Pina | Registered Nurse | 1600 Ave De La Constitucion, San Juan, PR 00912 | 2020-03-11 |
| 1841840246 | Giselle M Fernandez Caban | Registered Nurse | Pavia Research Center, LLC, 611 Pavia Street Suite 214, San Juan, PR 00729 | 2019-09-17 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1932665445 | Elias Roman Bonew | Registered Nurse | 725053 Programa Salud Al Deambulante, 900 Calle Cerra, San Juan, PR 00928 | 2019-02-20 |
| 1548737109 | Karina Ojeda | Registered Nurse | J10 Calle 4, Urb Haciendas De Carraizo, San Juan, PR 00926 | 2018-10-31 |
| 1437624368 | Lourdes Mabel Soto | Registered Nurse | 900 C Cerra Final Parada 15, Cdt Dr Gualberto Rabell, San Juan, PR 00928 | 2018-10-08 |
| 1720568769 | Rosany Ann Rivera Matos | Registered Nurse | 1010 Calle Humacao Santa Rita, Rio Piedras, San Juan, PR 00925 | 2018-08-20 |
| 1649796525 | Yessika Melendez Serrano | Registered Nurse | 26 Se 1006 Reparto Metropolitano, San Juan, PR 00921 | 2017-08-22 |
| 1366962078 | Haydee Quinones | Registered Nurse | 1111 Cesar Gonzales, San Juan, PR 00927 | 2017-06-23 |
| Find all providers in SAN JUAN | ||||
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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.