CIUDAD UNIVERSITARIA MEDICAL, C.S.P. (NPI# 1780963546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780963546 |
| Entity Type | Organization |
| Organization Name | CIUDAD UNIVERSITARIA MEDICAL, C.S.P. |
| Practice Address |
Ave Aa D 14 Ciudad Universitaria Trujillo Alto PR 00977 |
| Mailing Address |
Po Box 3185 Carolina PR 00984-3185 |
| Practice Telephone | 7877555515 |
| Mailing Telephone | 7877555515 |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | DR. HIRAM PABON (MD) |
| Authorized Official Telephone | 7874126241 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 15712 | PR | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 16514 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
AVE AA D 14 CIUDAD UNIVERSITARIA |
| City | TRUJILLO ALTO |
| State | PR |
| Zip Code | 00977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588290308 | Elizabeth Guadalupe Rodriguez | Psychologist | Carr 851 Km 3.3, Barrio La Gloria, Trujillo Alto, PR 00977 | 2020-03-13 |
| 1619306776 | Milagros Gonzalez Cruz | Physical Therapy Assistant | Barrio La Gloria Kilomentro 2.5, Ramal 851, Trujillo Alto, PR 00977 | 2013-11-08 |
| 1487907036 | Corp De Servicios De Ama De Llaves | In Home Supportive Care | Carr 181 Km 2, Bo Las Cuevas, Trujillo Alto, PR 00977 | 2012-10-19 |
| 1902129463 | Meylin Martinez | Registered Nurse | Calle 20 Edificio A 15, Apartamento 4a, Trujillo Alto, PR 00977 | 2010-03-11 |
| 1144498973 | Yazmin Selles | Psychologist | Urb. Golden Hill, Bo. Las Cuevas, Suite #3, Trujillo Alto, PR 00977 | 2008-02-14 |
| 1700077765 | Laboratorio Clinico Rural Trujillo Alto | Clinical Medical Laboratory | Rd. 181 Km 8.6, Bo. Dos Bocas, Trujillo Alto, PR 00977 | 2007-08-06 |
| 1144421249 | Maritza Salcedo | Pediatrics | 638 Calle Larinaga, Trujillo Alto, PR 00977 | 2007-05-29 |
| 1750500229 | Zoraya Diaz Monserrate | Dentist | Carr 844 Km 5 Hm 0, Barrio Carraizo, Trujillo Alto, PR 00977 | 2007-04-24 |
| 1760512917 | Milagros Soto-fierro | Physical Therapist | Carr. 851 K 1.8, Barrio La Gloria, Trujillo Alto, PR 00977 | 2007-03-06 |
| 1235264706 | Maribel Diaz | Pharmacist | 852 Street Dos Bocas, 0.1 Hectometer, Trujillo Alto, PR 00977 | 2007-02-23 |
| Find all providers in zip 00977 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298954 | Hector Mercado | General Practice | Villas De Carraizo Calle 48 R-9, Trujillo Alto, PR 00976 | 2020-02-25 |
| 1740847664 | Glorimar Rodriguez Gutierrez | General Practice | F4 Calle B-west Ciudad Universitaria, Trujillo Alto, PR 00976 | 2019-05-27 |
| 1194241133 | Maria Inaru Del Valle Martinez | General Practice | Pr 181, Km. 8.4, Barrio La Gloria, Trujillo Alto, PR 00976 | 2017-08-22 |
| 1699172510 | Hector Alfredo Aponte | General Practice | 166 Guajataca Street Lago Alto, Trujillo Alto, PR 00976 | 2014-11-20 |
| 1003225509 | Trujillo Medical Corporation | General Practice | 181 Street Km 2.1, Trujillo Medical Building Ofic 101, Trujillo Alto, PR 00976 | 2014-08-08 |
| 1265861769 | Jonathan Benitez-gonzalez | General Practice | Sj115 Via San Juan, Valle San Juan, Trujillo Alto, PR 00976-6111 | 2013-11-05 |
| 1558797274 | Augusto Jose Ayala-caminero | General Practice | Encantada Plz, Parque Del Rio, Via Del Rio # 41, Trujillo Alto, PR 00976-6301 | 2013-09-26 |
| 1659617967 | Yania Nicolau | General Practice | Urb. Corrientes Encantada, Co20 Calle Quebrada Grande, Trujillo Alto, PR 00976 | 2012-12-14 |
| 1942571245 | Audrey Muriel | General Practice | Rk- 19 Via Cristal Encantada, Trujillo Alto, PR 00976 | 2012-01-18 |
| 1033411426 | Juan Manuel Mercado | General Practice | 61 Via Del Monte, Parque Del Monte, Trujillo Alto, PR 00976-6089 | 2010-11-17 |
| Find all providers in TRUJILLO ALTO | ||||
| City | TRUJILLO ALTO |
| Zip Code | 00977 |
Please comment or provide details below to improve the information on CIUDAD UNIVERSITARIA MEDICAL, C.S.P..
| 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.