SAINT LUKES MEMORIAL HOSPITAL INC (NPI# 1760968960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760968960 |
| Entity Type | Organization |
| Organization Name | SAINT LUKES MEMORIAL HOSPITAL INC |
| Other Organization Name | CENTRO DE SALUD FAMILIAR SAN LUCAS GO-GOGO |
| Practice Address |
Urb Industrial Reparada 291 B Calle Monterrey Bo Canas Ponce PR 00733 |
| Mailing Address |
Po Box 336810 Ponce PR 00733-6810 |
| Practice Telephone | 7878442080 |
| Mailing Telephone | 7878442080 |
| Mailing Fax Number | 7878442090 |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |
| Authorized Official Name | JULIO REYES (EHR PROJECT MANAGER) |
| Authorized Official Telephone | 7878442080 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT LUKES MEMORIAL HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
147 | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Centro de Salud Familiar San Lucas Go-GoGo | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134245947 | Saint Lukes Memorial Hospital Inc | Pharmacy | Ave. Tito Castro # 917, Ponce, PR 00733-6810 | 2007-03-22 |
| 1841295557 | Saint Lukes Memorial Hospital Inc | Psychiatric Unit | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2005-06-17 |
| 1306492616 | Saint Lukes Memorial Hospital Inc | Clinic/Center | 917 Ave Tito Castro, Ponce, PR 00716-4717 | 2019-08-13 |
| Street Address |
URB INDUSTRIAL REPARADA 291 B CALLE MONTERREY BO CANAS |
| City | PONCE |
| State | PR |
| Zip Code | 00733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366903007 | Noash Marie Julia | Student in an Organized Health Care Education/Training Program | Hospital San Lucas 917 Avenida Tito Castro, Ponce, PR 00733 | 2019-03-26 |
| 1598242190 | Lyanne Colon Santos | Student in an Organized Health Care Education/Training Program | Hospital Episcopal San Lucas Dept Obgyn, 917 Avenida Tito Castro, Ponce, PR 00733 | 2018-07-26 |
| 1376030015 | Yaritza Serrano Gomez | Student in an Organized Health Care Education/Training Program | 917 Av Tito Castro, Ponce, PR 00733 | 2018-04-18 |
| 1417463126 | Caribbean Cardiac & Thoracic Surgery Institute, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 917 Ave. Tito Castro, Torre Medica San Lucas, Suite 519, Ponce, PR 00733 | 2017-12-18 |
| 1942720404 | Carlos Alvarado | Registered Nurse | Guadalupe 84 Ant Hosp San Lucas, Ponce, PR 00733 | 2017-06-26 |
| 1629505318 | Farmacia La Fe Reformada Inc | Point of Service | The New Shopping Center, 421 Munoz Rivera Esquina Ferrocarril, Ponce, PUERTO RICO 00733 | 2017-05-12 |
| 1033665757 | Claudia Alexandra Jordan | Student in an Organized Health Care Education/Training Program | 917 Av. Tito Castro, Ponce, PR 00733 | 2016-09-01 |
| 1104216050 | Primary Medical Group, C.s.p. | Clinic/Center | Calle Mendez Vigo #24, Ponce, PR 00733 | 2015-01-30 |
| 1679814628 | Egr Anesthesia Services, Psc | Anesthesiology | 2445 Ave Las Americas, Hospital Metropolitano Dr. Pila, Ponce, PR 00733 | 2013-03-14 |
| 1518217728 | Jose Rosado | Emergency Medical Technician, Paramedic | Urb. Nuevo Mameyes Calle 8 J1, Ponce, PR 00733 | 2012-09-14 |
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| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740695162 | Rs Medical Service Corp | Clinic/Center | Carretera 132 Km 221 Plaza Gabriela, Bo Canas, Ponce, PR 00728 | 2014-06-24 |
| 1659680486 | Sala Emergencias San Lucas | Clinic/Center | Carr Pr 2 Km 121.9, Comunidad Brisas Del Caribe, Ponce, PR 00733 | 2010-09-28 |
| 1669704128 | South West Health Corp | Clinic/Center | Calle Marina #38, Ponce, PR 00717 | 2010-02-09 |
| 1124234034 | Cynthia M Banuchi-rios | Clinic/Center | Calle Cristina 4015, Ponce, PR 00731 | 2007-05-15 |
| 1023574282 | Primary Medical Center, Inc | Clinic/Center | Calle Mendez Vigo #24, Ponce, PR 00730-0000 | 2019-02-13 |
| 1376999110 | Go Gogo Fundacion Corp. | Clinic/Center | 291 Calle Monterrey, Urb. Reparada Industrial, Ponce, PR 00716-0376 | 2016-05-11 |
| 1588001028 | Metro Pavia Healthcare Centers Inc | Clinic/Center | Calle Marina 38, Ponce, PR 00717-0000 | 2013-05-23 |
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| 1720573181 | Jose Luis Serrano Montes, Md, Csp | Clinic/Center | Lote E A1 Carr 181, Reparto Trapiche, Trujillo Alto, PR 00976-9705 | 2018-06-28 |
| 1740707314 | Centro Familiar Menonita Arroyo | Clinic/Center | Carretera 753 Sector Cuatro Calles, Arroyo, PR 00714 | 2017-08-24 |
| 1003340001 | Salud Integral En La Montana, Inc. | Clinic/Center | Ave Luis Munoz Marin Carr 155, Sector El Desvio, Orocovis, PR 00720 | 2017-04-17 |
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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.