PROSPERITUS PSC (NPI# 1649525874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649525874 |
| Entity Type | Organization |
| Organization Name | PROSPERITUS PSC |
| Practice Address |
400 Carr 176 Apt 605 San Juan PR 00926-6680 |
| Practice Telephone | 7875291699 |
| Mailing Telephone | 7875291699 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Authorized Official Name | DR. HIRAM D ORTEGA (PRESIDENT) |
| Authorized Official Telephone | 7875291699 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
17586 | PR | Allopathic & Osteopathic Physicians |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2903 | PR | Dental Providers |
| Street Address |
400 CARR 176 APT 605 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00926-6680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023081 | Urology Hub LLC | Internal Medicine | 940 Los Romero St Suite 1540, San Juan, PR 00926 | 2020-11-06 |
| 1700487246 | Elimaliel Suarez Cortes | Psychologist | Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 | 2020-11-02 |
| 1407455405 | Ricardo Enrique Jimenez Ramos | Pharmacist | Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 | 2020-10-21 |
| 1679180806 | Nicolle Rodriguez Mercado | Occupational Therapist | Expresso Trujillo Alto Pr-181 Carretera 846, Trujillo Medical, San Juan, PR 00926 | 2020-10-01 |
| 1700493616 | Mana Home Associates, Inc | PACE Provider Organization | 671 Avenida Acuario, Urb Venus Gardens, San Juan, PR 00926 | 2020-09-24 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1053925370 | Rafael Esteban Amador Gonzalez | Student in an Organized Health Care Education/Training Program | La Campina 79 Calle 1, San Juan, PR 00926 | 2020-09-03 |
| 1366053811 | Diana Paola Rivera | Psychologist | 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 | 2020-08-10 |
| 1831708437 | Gymar M Vargas | Student in an Organized Health Care Education/Training Program | Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 | 2020-07-29 |
| 1558979427 | Luis Hiram Zayas Martinez | Social Worker | Calle 8 #373 Ext San Agustin, San Juan, PR 00926 | 2020-07-16 |
| Find all providers in zip 00926 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198576 | San Juan Dental Center LLC | Dentist | 456 Calle Cesar Gonzalez, San Juan, PR 00918-2628 | 2018-09-20 |
| 1104364165 | Edinburg Dental, Pllc | Dentist | 423 W Fm 495, San Juan, TX 78589-3717 | 2017-02-09 |
| 1508122094 | Little Manhattan Pediatric Dentistry,pllc | Dentist | 423 W. Highway 495, San Juan, TX 78589-9998 | 2012-04-09 |
| 1295852598 | Escuela De Odontologia | Dentist | Ave Barbosa 608, Clinica Dental Comunitaria Cantera Suite 4, San Juan, PR 00919-1274 | 2007-03-23 |
| 1467594721 | Alexis R. Pagan | Dentist | 253 Calle San Jorge Ste I-a, San Jorge II Medical Building, San Juan, PR 00912-3307 | 2007-02-13 |
| 1003953134 | Rosa M Rodriguez | Dentist | 377 Ave Domenech, San Juan, PR 00918-3721 | 2007-01-30 |
| 1225181266 | University of Puerto Rico Msc | Dentist | Pediatric Dentistry Clinics, Centro Medico, San Juan, PR 00935-0001 | 2007-01-22 |
| 1780736520 | Anabel Noriega | Dentist | 525 F D Roosevelt Ave, Suite 704 Plaza Las Americas Tower, San Juan, PR 00918 | 2007-01-18 |
| 1457415275 | Adolfo Correa-luna | Dentist | 1165 Ave Jesus T Pinero, San Juan, PR 00920-5604 | 2006-12-19 |
| 1083625776 | Sandra Patricia Cerda | Dentist | 281 Ave Jesus T Pinero, Plaza El Amal, Suite 211, San Juan, PR 00927-3901 | 2006-08-10 |
| Find all providers in SAN JUAN | ||||
Please comment or provide details below to improve the information on PROSPERITUS PSC.
| 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.