ADVANCE PEDIATRIC (NPI# 1922457928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922457928 |
| Entity Type | Organization |
| Organization Name | ADVANCE PEDIATRIC |
| Practice Address |
Ave Perez Andino A3 Villas De Rio Grande Rio Grande PUERTO RICO 00745 UG |
| Mailing Address |
A3 Ave Perez Andino Villas De Rio Grande Rio Grande PR 00745 |
| Practice Telephone | 7878882302 |
| Mailing Telephone | 7878882302 |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | DR. GLENDA MARTINEZ SANTIAGO (PEDIATRIC) |
| Authorized Official Telephone | 7878882302 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
010759 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | LICENSE NUMBER | 010759 | 01 |
| PR | PTAN NUMBER | IH541A | 01 |
| Street Address |
AVE PEREZ ANDINO A3 VILLAS DE RIO GRANDE |
| City | RIO GRANDE |
| State | PUERTO RICO |
| Zip Code | 00745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898172 | Luis Emanuel Mojica | Pharmacy Technician | Farmacias Caribe, Centro Comercial Alturas De Rio Grande, Rio Grande, PR 00745 | 2020-07-10 |
| 1487287231 | Hecmar LLC | Pharmacy | Carretera #3 Km 29.6, Barrio Palmer Sector Carola, Rio Grande, PR 00745 | 2020-02-20 |
| 1487287348 | Yanializ Matta | Social Worker | C/ 15 Bloq P# 828 Urb. Alturas De Rio Grande, Rio Grande, PR 00745 | 2020-02-19 |
| 1396383857 | Maria Victoria Padilla | Psychologist | St 68 Bs 344, Jardines De Rio Grande, Rio Grande, PR 00745 | 2019-12-16 |
| 1821632977 | Ingrid S Ayala | Social Worker | Urb Los Arboles, 94 Calle Jaba, Rio Grande, PR 00745 | 2019-11-01 |
| 1891338265 | Ivonne Robles | General Practice | Bn 310 33, Rio Grande, PR 00745 | 2019-10-18 |
| 1295376093 | Adriana Lopez Guzman | Physician Assistant | Calle 4 L 1, Villas De Rio Grande, Rio Grande, PR 00745 | 2019-10-02 |
| 1376195214 | Aymet Perez Castro | Student in an Organized Health Care Education/Training Program | Barrio Las Tres T Carr, Rio Grande, PR 00745 | 2019-07-11 |
| 1851959738 | Ricardo Alvarez Mainegra | Student in an Organized Health Care Education/Training Program | Carr 3 Km 3.9 Rio Grande, Bo The Three T, Rio Grande, PR 00745 | 2019-06-05 |
| 1649837600 | Tedshla Zorivette Ortiz | Psychologist | Urb Rio Grande Estate C25 V64, Rio Grande, PR 00745 | 2019-05-24 |
| Find all providers in zip 00745 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992135776 | Rio Grande Medical Group | Clinic/Center | Street 4 L # 1, Villas De Rio Grande, Rio Grande, PR 00745-8863 | 2013-11-15 |
| 1063639755 | Centro De Especialistas Cuidad Del Yunque | Clinic/Center | Villas De Rio Grande, Calle Garcia De La Noceda B 23, Rio Grande, PR 00745 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063519122 | Ponce Advance Medical Group | Clinic/Center | Avenida Hostos, Esquina Power # 1266, Ponce, PUERTO RICO 00730 | 2006-09-20 |
| City | RIO GRANDE |
| Zip Code | 00745 |
Please comment or provide details below to improve the information on ADVANCE PEDIATRIC.
| 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.