LOS ANGELES MEDICAL CLINIC CORP (NPI# 1912970351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912970351 |
| Entity Type | Organization |
| Organization Name | LOS ANGELES MEDICAL CLINIC CORP |
| Practice Address |
1400 Calle San Rafael Esq Hipodromo Suite 201 Santurce PR 00909-2644 |
| Mailing Address |
1400 Calle San Rafael Esq Hipodromo Suite 201 San Juan PR 00909-2693 |
| Practice Telephone | 7877216626 |
| Practice Fax Number | 7877251287 |
| Mailing Telephone | 7877216626 |
| Mailing Fax Number | 7877251287 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2018-08-17 |
| Authorized Official Name | DR. MYRIAM SAEZ (PRESIDENT) |
| Authorized Official Telephone | 7877210429 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
70 | PR | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
1820 | PR | Behavioral Health & Social Service Providers |
| N | 207Q00000X | Family Medicine | 013924 | PR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 11058 | PR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 9251 | PR | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
4847 | PR | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
8908 | PR | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 10561 | PR | Allopathic & Osteopathic Physicians |
| N | 208100000X | Physical Medicine & Rehabilitation | 15909 | PR | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 16296 | PR | Allopathic & Osteopathic Physicians |
| N | 225100000X | Physical Therapist | 624 | PR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 208D00000X | General Practice | 16341 | PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | AMERICAN HEALTH INC | 04486 | 01 |
| PR | PALI | 4965 | 01 |
| PR | PMC | 4172 | 01 |
| PR | HUMANA | 9080048 | 01 |
| PR | HUMANA | 9090182 | 01 |
| PR | UIA | 3153261 | 01 |
| PR | AMERICAN HEALTH MEDICARE | 3842 | 01 |
| Street Address |
1400 CALLE SAN RAFAEL ESQ HIPODROMO SUITE 201 |
| City | SANTURCE |
| State | PR |
| Zip Code | 00909-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518133628 | Laboratorio Clinico Los Angeles Medical Clinic | Clinical Medical Laboratory | 1400 Calle San Rafael, Suite 203, Santurce, PR 00909-2693 | 2008-05-08 |
| 1730386848 | Doris A Marrero | Contractor | 1400 Calle San Rafael, Suite 201, Santurce, PR 00909-2693 | 2007-07-02 |
| 1245325406 | Jose R Nadal | Internal Medicine | 1400 Calle San Rafael, Suite 201, Santurce, PR 00909-2693 | 2006-10-04 |
| 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 |
|---|---|---|---|---|
| 1013035013 | Jessica Rosario | General Practice | Centro Plaza, Lloveras 650 Stop 22, Suite 207, Santurce, PR 00909 | 2007-03-27 |
| 1518082957 | Milton Oscar Delgado Mejias | General Practice | 519 Calle Felipe R Goyco, Bo. Obrero, Santurce, PR 00915-3720 | 2007-03-21 |
| 1013064500 | Joel Gonzalez | General Practice | Calle Cerra Final 900, Centro Dr. Gualberto Rabell, Santurce, PR 00907 | 2007-01-05 |
| 1275620163 | Guillermo Garcia-garcia | General Practice | 655 Pavin St, Santurce, PR 00909 | 2006-10-10 |
| 1851319636 | Rafael Lacomba Hernandez | General Practice | 709 Calle Miramar, Suite #6, Santurce, PR 00907-4109 | 2006-07-18 |
| 1730149808 | Roberto A Menjivar | General Practice | Doctors' Center Hospital, 1395 Calle San Rafael, Santurce, PR 00910 | 2006-03-24 |
| 1124093125 | Manolo Martinez Ortiz | General Practice | 106c Calle Tapia, Santurce, PR 00911-2307 | 2006-02-22 |
| 1811971609 | Cesar L Perez | General Practice | Ave Fernandez Juncos #1427, 2nd Nivel, Santurce, PR 00907 | 2005-12-05 |
| 1184619702 | Sigrid A Ramirez | General Practice | 900 Calle Cerra, Santurce, PR 00907-5104 | 2005-09-20 |
| 1689669004 | Jorge Antonio Cabrera-caraballo | General Practice | Calle Cerra Final #900, Cms Dr Gualberto Rabell, Santurce, PR 00907-0000 | 2005-09-12 |
| Find all providers in SANTURCE | ||||
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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.