SUPER HEROES 5K INC (NPI# 1679105902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679105902 |
| Entity Type | Organization |
| Organization Name | SUPER HEROES 5K INC |
| Practice Address |
Km 2.1 Road 107, Aguadilla Puerto Rico Borinquen Aguadilla PR 00603 |
| Mailing Address |
Ext. Marbella 66 Sevilla Aguadilla PUERTO RICO 00603 UM |
| Practice Telephone | 7873980242 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Authorized Official Name | MRS. SOAMMY DELIZ ACEVEDO (DIRECTORA EJECUTIVA) |
| Authorized Official Telephone | 7873980242 |
| Authorized Official Credential | LCDA. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility |
| Street Address |
KM 2.1 ROAD 107, AGUADILLA PUERTO RICO BORINQUEN |
| City | AGUADILLA |
| State | PR |
| Zip Code | 00603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938593 | Natalia Cordero Lopez | Psychologist | 3 Calle Orquidea, Urb. La Victoria, Aguadilla, PR 00603 | 2020-10-08 |
| 1790390250 | Roberto Martinez Caballero | Physician Assistant | Carr#2 Km 141.1 Ave. Severiano Cuevas Bo Caimital Bajo, Aguadilla, PR 00603 | 2020-09-11 |
| 1427667906 | Northwestern Renal Care Psc | Exclusive Provider Organization | Edificio Western Plaza, Oficina 10, Ave. Severiano Cuevas 18, Carr 460 Km 1.2 Int, Aguadilla, PR 00603 | 2020-07-30 |
| 1457960502 | Tamara Paola Gonzalez Copo | Student in an Organized Health Care Education/Training Program | Bo Maleza Alta Sect Martinica Carr 110 Km32.3, Aguadilla, PR 00603 | 2020-07-24 |
| 1538778824 | Felipe Jose Soto | Student in an Organized Health Care Education/Training Program | Carr. 2 Km 141.1 Ave. Severiano Cuevas 18, Aguadilla, PR 00603 | 2020-07-23 |
| 1699383679 | Grisely Moro Acevedo | General Practice | Carr 110 Km 23.8 Int Reparto Monte Cristo 16, Bo. Ceiba Baja, Aguadilla, PR 00603 | 2020-07-16 |
| 1245857879 | Brunilda Rios | General Acute Care Hospital | Hospital Buen Samaritano Avenida Severiano Cuevas #18 K, Aguadilla, PR 00603 | 2020-06-30 |
| 1699391227 | Diannette Morales-crespo | General Practice | Avenida Severiano Cuevas, 18 Km 141.1 Bo. Caimital Bajo, Aguadilla, PR 00603 | 2020-06-19 |
| 1275158982 | Tamia Marie Lozada Soto | Student in an Organized Health Care Education/Training Program | Ave. Severiano Cuevas #18 Carr #2 Km 141.1, Aguadilla, PR 00603 | 2020-06-09 |
| 1639700511 | Aguadilla Medical Services, Inc. | Clinic/Center | 2 Road - Km 129.3, Bo Victoria, Aguadilla, PR 00603 | 2020-01-30 |
| Find all providers in zip 00603 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760028583 | Centro Terapeutico | Respite Care | 9 Calle Georgetti, Comerio, PR 00782-2542 | 2019-11-27 |
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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.