CLINICA MEDICINA PREVENTIVA C.P. (NPI# 1881155976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881155976 |
| Entity Type | Organization |
| Organization Name | CLINICA MEDICINA PREVENTIVA C.P. |
| Practice Address |
1801 Ave Ponce De Leon Santurce Medical Mall Suite 101 B San Juan PR 00909 |
| Mailing Address |
Po Box 367083 San Juan PR 00936-7083 |
| Practice Telephone | 7877286093 |
| Practice Fax Number | 7872300988 |
| Mailing Telephone | 7877286093 |
| Mailing Fax Number | 7872300988 |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |
| Authorized Official Name | DR. LOURDES M VAZQUEZ OTERO (PRESIDENT) |
| Authorized Official Telephone | 7877286093 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1801 AVE PONCE DE LEON SANTURCE MEDICAL MALL SUITE 101 B |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922005701 | Manuel Medina | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2005-07-07 |
| 1275036451 | Ag Thyroid & Endocrine Clinic LLC | Internal Medicine | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2018-03-14 |
| 1275089864 | Caroline M Forastieri Villamil | Psychologist | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909 | 2016-09-01 |
| 1063806008 | Nrmd Health Providers Psc | General Practice | 1801 Ave Ponce De Leon, Suite 206 Santurce Medical Mall, San Juan, PR 00909-1900 | 2015-03-27 |
| 1689065708 | Oficina Medica Dr Pintado P S C | Clinic/Center | 1801 Ave Ponce De Leon, Suite 203, San Juan, PR 00909-1900 | 2015-02-11 |
| 1578980314 | Elizabeth E Martinez | Psychologist | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909-1900 | 2014-03-18 |
| 1053683482 | Maria Victoria Garcia | Psychologist | 1801 Ave Ponce De Leon, Santurce Medical Mall, San Juan, PR 00909-1900 | 2012-02-01 |
| 1093001729 | Psicologos Clinicos Del Santurce Medical Mall, Csp | Clinic/Center | 1801 Ave Ponce De Leon, Suite 311, San Juan, PR 00909-1900 | 2011-06-21 |
| 1558651935 | Manuel Medina | Student in an Organized Health Care Education/Training Program | 1801 Ave Ponce De Leon, San Juan, PR 00909-1900 | 2011-04-19 |
| 1730494493 | M.r. Medical, P.s.c. | Surgery | 1801 Ave Ponce De Leon, Suite 304, San Juan, PR 00909-1900 | 2010-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473620 | Maria Isabel De Jesus | General Practice | 881 Calle Manuel Guerra, San Juan, PR 00924-2533 | 2020-09-24 |
| 1427664762 | Carlos Ruben Alomar Lopez | General Practice | 200 Calle Cupey Gdns Ste 11w, San Juan, PR 00926-7366 | 2020-09-22 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1861010191 | Monica Molina-serrano | General Practice | 342 Calle San Luis, San Juan, PR 00920-1623 | 2020-07-13 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1851918338 | Jenniffer Ramirez Gomez | General Practice | 138 Ave Winston Churchill Pmb 922, San Juan, PR 00926-6013 | 2020-06-30 |
| 1447877949 | Paola Katsi Vissepo Martinez | General Practice | Carr 22 Barrio Monacillos Hospital Oncologico, San Juan, PR 00935-0001 | 2020-06-30 |
| 1598385049 | Mediexpreso LLC | General Practice | Villa Hucar C6 Calle Almendro, San Juan, PR 00920 | 2020-04-24 |
| 1316571912 | Charitin De Pena Gomez | General Practice | L11 Calle Ronda, San Juan, PR 00926-2309 | 2020-02-24 |
| 1093347692 | Elite Medical Clinic of Pr LLC | General Practice | 400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748 | 2020-02-11 |
| Find all providers in SAN JUAN | ||||
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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.