USCG CLINIC BORINQUEN (NPI# 1679746697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679746697 |
Entity Type | Organization |
Organization Name | USCG CLINIC BORINQUEN |
Practice Address |
2100 2nd St Sw Suite 5314 Washington DC 20593-0002 |
Practice Telephone | 7878908477 |
Practice Fax Number | 7878908481 |
Mailing Telephone | 7878908477 |
Mailing Fax Number | 7878908481 |
Enumeration Date | 2008-04-10 |
Last Update Date | 2008-04-10 |
Authorized Official Name | DR. CARLOS M RIVERA (CHIEF HEALTH SERVICES DIVISION) |
Authorized Official Telephone | 7878908477 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
2100 2ND ST SW SUITE 5314 |
City | WASHINGTON |
State | DC |
Zip Code | 20593-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821074287 | Armando Francisco Rivera | Technician, Other | 2100 2nd St Sw, Comdt(cg-1122) Us Coast Guard, Suite 5314, Washington, DC 20593-0002 | 2005-12-19 |
1457599623 | Harrison Jehu Bland | Dental Hygienist | 2100 2nd St Sw, Washington, DC 20593-0002 | 2009-01-27 |
1659523983 | Isam Omer Awadalla Iv | Dental Hygienist | 2100 2nd St Sw, Us Coast Guard Headquarters Medical, Washington, DC 20593-0002 | 2008-10-17 |
1679736896 | Todd A Devore | Technician, Other | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-07-08 |
1336316082 | David Louis Huntley | Technician, Other | 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 | 2008-05-13 |
1235303876 | Daniel G. Hernandez | Technician, Other | 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2008-04-15 |
1811160757 | David James Pendzick | Technician, Health Information | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-04-11 |
1184897100 | Marilyn Perez | Technician, Other | 2100 2nd St Sw, Suite 5314, Washington, DC 20593-0002 | 2008-04-10 |
1336327329 | Janilet Haydee Baez | Dental Assistant | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-02-01 |
1821275934 | Delano Deshawn Mcvay | Specialist/Technologist, Other | 2100 2nd St Sw, Washington, DC 20593-0002 | 2008-01-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982869939 | Devon Avery | Student in an Organized Health Care Education/Training Program | 21002ndst Sw Swite 5314, Washington, DC 20593 | 2008-07-18 |
1922261056 | Robert Harold Spicer | Technician, Other | 2100 2nd St, Comdt (cg-1122) U.S. Coasst Guard Suite 5314, Washington, DC 20593 | 2008-07-09 |
1235391772 | Abby Joanna Shannon | Dentist | Uscg Base Ncr 2703 Martin Luther King Jr Ave Se, Washington, DC 20593 | 2008-06-26 |
1760642797 | Sweet-charity May Keplinger | Physician Assistant | 2100 2nd St Sw Suite 5, Comdt ( Cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-06-12 |
1730346719 | Stephen M-l Tate | Student in an Organized Health Care Education/Training Program | 2100 2nd St Sw Suit, Comdt (cg-1122) Us Coast Guard, Washington, DC 20593 | 2008-05-19 |
1659409167 | Marc J Capra | Technician, Other | Uscg Comdt (cg-1122), 2100 2nd St Sw Suite 5314, Washington, DC 20593 | 2007-02-28 |
1336220730 | Christohper John Lisk | Technician, Other | 2100 2nd St Sw Suite 5314, Comdt (cg-1122) U.S. Coast Guard, Washington, DC 20593 | 2006-10-18 |
1013097674 | James C. Morgan | Military Health Care Provider | Comdt (cg-1122), U.S. Coast Guard 2100 2nd St Sw, Suite 5314, Washington, DC 20593 | 2006-10-17 |
1811077613 | Thomas Keith Heimann | Technician, Other | 2100 2nd St Sw, Suite 5314, Comdt (cg-1122), U. S. Coast Guard, Washington, DC 20593 | 2006-10-16 |
1447330246 | Unitied States Coast Guard | Technician, Other | 2100 2nd St Sw Comdt (cg-1122), Suite 5314 Us Coast Guard, Washington, DC 20593 | 2006-10-16 |
Find all providers in zip 20593 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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Find all providers in WASHINGTON |
City | WASHINGTON |
Zip Code | 20593 |
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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.