KIWI LLC (NPI# 1821448283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821448283 |
| Entity Type | Organization |
| Organization Name | KIWI LLC |
| Practice Address |
Bo.paso Seco Sector Useras Carr 153 Km7.5 Santa Isabel PUERTO RICO 00757 UM |
| Mailing Address |
Urb.paraiso Calle Lealtad 118 Mayaguez PUERTO RICO 00680 UM |
| Practice Telephone | 7874364848 |
| Mailing Telephone | 7874364848 |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2017-02-08 |
| Authorized Official Name | DR. JOSE S DIAZ MIRANDA (PSYCHIATRIST) |
| Authorized Official Telephone | 7874364848 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
9088 | PR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KIWI LLC | 16625 Ne 40th Ct, Redmond, WA 98052-5245 |
| Street Address |
BO.PASO SECO SECTOR USERAS CARR 153 KM7.5 |
| City | SANTA ISABEL |
| State | PUERTO RICO |
| Zip Code | 00757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968487 | Clinica De Terapias Santa Isabel Inc | Clinic/Center | Calle Baldorioty #21c, Santa Isabel, PR 00757 | 2020-10-05 |
| 1649881830 | Zolmari Rivera | Registered Nurse | Urb Portales De Jacaranda B27, Santa Isabel, PR 00757 | 2020-08-12 |
| 1053921122 | Rafael Caballero | Physician Assistant | Urb Hacienda Isabel, Calle 3 Num 22, Santa Isabel, PR 00757 | 2020-08-04 |
| 1831716638 | Shirley I Zayas | Social Worker | Barrio Jauca Sector Canta Sapo Carretera 1 Interior, Santa Isabel, PR 00757 | 2020-06-29 |
| 1639701626 | Veronica Lilyana Torres Torres | Student in an Organized Health Care Education/Training Program | Urb. Brisas Del Prado Gaviota St. E-6, Santa Isabel, PR 00757 | 2020-02-07 |
| 1073143400 | Julio Enrique Santos-marroig | Pharmacist | Calle Betances 18, Santa Isabel, PR 00757 | 2020-01-24 |
| 1487293973 | Sharon Loren Diaz | Social Worker | Paseo Del Mar Ll, Calle Sabalo D 14, Santa Isabel, PR 00757 | 2019-12-31 |
| 1336790898 | Municipio De Santa Isabel | Clinical Medical Laboratory | Calle Hostos #89 Final, Santa Isabel, PR 00757 | 2019-09-26 |
| 1689238321 | Jose Rafael Martinez | Social Worker | Urb Jardines De Santa Isabel, D1 Calle 5, Santa Isabel, PR 00757 | 2019-04-29 |
| 1205499340 | Anthony Agosto | General Practice | Calle 50 Luis Munoz Rivera, Santa Isabel, PR 00757 | 2019-04-15 |
| Find all providers in zip 00757 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780003327 | Home Medic Coordination | Clinic/Center | 91 Calle Luis Munoz Rivera, Santa Isabel, PR 00757-2659 | 2014-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467942813 | Migrant Health Center Western Region, Inc. | Clinic/Center | Carretera #445 Km 2.2, Barrio Planas, Isabela, PUERTO RICO 00662 | 2018-05-11 |
| 1447604541 | Mental Wellness Professional Group, P.s.c. | Clinic/Center | Calle Gardenia 82 Ciudad Jardin, Carolina, PUERTO RICO 00987 | 2016-04-15 |
| City | SANTA ISABEL |
| Zip Code | 00757 |
Please comment or provide details below to improve the information on KIWI LLC.
| 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.