DR. JOHN DERRICK VAN DOREN (NPI# 1841844115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841844115 |
Entity Type | Individual |
Full Name | DR. JOHN DERRICK VAN DOREN |
Credential | MD |
Practice Address |
100 Ave Laurel Bayamon PR 00956-4816 |
Mailing Address |
Po Box 9020035 San Juan PR 00902-0035 |
Practice Telephone | 7877875151 |
Mailing Telephone | 9513757966 |
Enumeration Date | 2019-07-25 |
Last Update Date | 2019-07-25 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
G60750 | CA | Allopathic & Osteopathic Physicians |
Street Address |
100 AVE LAUREL |
City | BAYAMON |
State | PR |
Zip Code | 00956-4816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407810849 | Francisco Gomez Goytia | Radiology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2006-04-13 |
1043821689 | Grecia Marie Santaella Mendez | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-16 |
1326659871 | Gretchel J Santiago-jhaveri | Psychologist | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-10 |
1215547013 | Marli Carolina Almonte | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-06 |
1376153536 | Henry Alexander Ruberte | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-03 |
1134746944 | Waldo Jesus Santiago Colberg | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-06-26 |
1972134344 | Fenix Med | Radiology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-02-04 |
1427698208 | Puerto Rico Advanced Urology Center, LLC | Clinic/Center | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-01-09 |
1720633563 | Isis E Silvestrini-bonilla | Pathology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-08-08 |
1295389906 | Monica Montes | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205437514 | Julio Alberto Cedeno Alicea | Pharmacist | Carr. 174 Km. 10.2, Sec. La Morenita Bo. Guaraguao, Bayamon, PR 00956 | 2020-11-03 |
1851992275 | Patricia Santurio | Pharmacist | Farmacia Magda C 30, Santa Juanita, Bayamon, PR 00956 | 2020-11-03 |
1336754423 | Gustavo Jose Morey Cruz | Physical Therapist | Urb Santa Juanita Calle 30 Uu #43, Bayamon, PR 00956 | 2020-09-15 |
1609480961 | Great Vision, LLC | Optometrist | Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 | 2020-09-03 |
1861004285 | Glorilis Zambrana Sr. | Social Worker | Carr. 174 Km 15.3 Barrio Guaraguao Arriba, Sector Chorrera, Bayamon, PR 00956 | 2020-08-18 |
1568073484 | Luz Myriam Bracero | Counselor | Carr 174 Km 8.3, Bo Guaraguao Abajo, Bayamon, PR 00956 | 2020-08-13 |
1316565641 | Aa Home Rental Inc | Clinical Medical Laboratory | Carr 829 Km,6.2, Bayamon, PR 00956 | 2020-07-13 |
1750909495 | Agustin Vazquez | Physician Assistant | Carr 167 Km 10.9, Bayamon, PR 00956 | 2020-07-09 |
1710509211 | Carmen Luz Rosa Santiago | Registered Nurse | Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 | 2020-05-07 |
1649891193 | Omar Pantaleon | Student in an Organized Health Care Education/Training Program | Avenida Laurel, Santa Juanita, Bayamon, PR 00956 | 2020-05-06 |
Find all providers in zip 00956 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144698440 | Jmo Medical Services | Internal Medicine | Edificio Arecibo Medical Plaza, Suite 202, Arecibo, PR 00612 | 2015-09-03 |
1659468478 | Angel A Gonzalez-carrasquillo | Internal Medicine | 9 Valle Escondido, Guaynabo, PR 00971-8000 | 2006-10-05 |
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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.