LIVING HEALTHY PSC (NPI# 1922397223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922397223 |
| Entity Type | Organization |
| Organization Name | LIVING HEALTHY PSC |
| Practice Address |
771 Ave Andalucia San Juan PR 00921-1803 |
| Mailing Address |
Po Box 51991 Toa Baja PR 00950-1991 |
| Practice Telephone | 7877071983 |
| Practice Fax Number | 7877068823 |
| Mailing Telephone | 7877071983 |
| Mailing Fax Number | 7877068823 |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |
| Authorized Official Name | DR. WANDA ENID DAVILA (DUENA) |
| Authorized Official Telephone | 7877071983 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
771 AVE ANDALUCIA |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00921-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982800140 | Medical Pharmacy and Lab | Specialist | 771 Ave Andalucia, Puerto Nuevo, San Juan, PR 00921-1803 | 2007-06-25 |
| 1952926362 | Luis Anibal Rosado | General Practice | 771 Ave Andalucia, San Juan, PR 00921-1803 | 2020-06-11 |
| 1477036945 | Puerto Rico Case Manegement Corp | Clinic/Center | 771 Ave Andalucia, San Juan, PR 00921-1803 | 2018-09-11 |
| 1639477730 | Metropilitan Health Management | Emergency Medicine | 771 Ave Andalucia, San Juan, PR 00921-1803 | 2011-03-14 |
| 1386887990 | Medical Pharmacy and Laboratory Administrative Sercive Corp | Pharmacy | 771 Ave Andalucia, San Juan, PR 00921-1803 | 2009-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291540 | Valeria Lozada Miranda | Student in an Organized Health Care Education/Training Program | Hospital Universitario Centro Medico, San Juan, PR 00921 | 2020-10-06 |
| 1710593983 | Alicia Yare Alvarez | Social Worker | 1 Calle Maga Final Pabellon G, Centro Medico, San Juan, PR 00921 | 2020-09-22 |
| 1851919310 | Adriana Lucia Guarachi | Student in an Organized Health Care Education/Training Program | Centro Medico Hospital Pediatrico Universitario, San Juan, PUERTO RICO 00921 | 2020-07-10 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1265059281 | Juliara Enid Ortiz Santana | Student in an Organized Health Care Education/Training Program | Centro Medico De Pr, Bo. Monacillos, San Juan, PR 00921 | 2020-06-26 |
| 1326664442 | Antonio Jose Santos Roca | Student in an Organized Health Care Education/Training Program | Paseo Dr. Jose Celso, University of Puerto Rico Medical Sciences Campus, San Juan, PR 00921 | 2020-06-24 |
| 1245856848 | Mayra A Colon Lopez | Dentist | Medical Sciences Campus, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-06-19 |
| 1134752470 | Keila Marie Drowne | Registered Nurse | Caparra Terrace So, 1507 Calle 16, San Juan, PR 00921 | 2020-02-14 |
| 1730711201 | Jose J. Betancourt | Student in an Organized Health Care Education/Training Program | School of Medicine, Paseo Dr. Jose Celso Barbosa, San Juan, PR 00921 | 2020-02-12 |
| 1437781085 | Boriq LLC | Chiropractor | Urb. Santiago Iglesias 1404 Ave Paz Granela, Suite C1, San Juan, PR 00921 | 2020-02-11 |
| Find all providers in zip 00921 | ||||
| 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.