PUERTO RICO PERFORMANCE MEDICAL GROUP (NPI# 1952739385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952739385 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO PERFORMANCE MEDICAL GROUP |
| Practice Address |
1 F12 Prado Alto Guaynabo PR 00966 |
| Mailing Address |
F12 Calle 1 Guaynabo PR 00966-3022 |
| Practice Telephone | 7874601129 |
| Mailing Telephone | 7874601129 |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | DR. DAVID J. COLON (PRESIDENT) |
| Authorized Official Telephone | 7874601129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 219 | PR | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MANAGE CARE ORGANIZATION | 305500000X | 01 |
| Street Address |
1 F12 PRADO ALTO |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548845 | Provider Network Solutions of Puerto Rico LLC | Clinic/Center | 140 Ave. Las Cumbres Carr 199 Guaynabo Medical Mall, Guaynabo, PR 00966 | 2020-11-02 |
| 1619504578 | Horizon Health and Management Consulting Group Corp | General Practice | 38 Corporate Office Park Pr-20 Suite 201, Guaynabo, PR 00966 | 2020-03-23 |
| 1073148755 | Emanuel Echandy Rivera | Chiropractor | Buen Samaritano Street, Guaynabo, PR 00966 | 2020-03-03 |
| 1225662646 | Andres Enrique Javier Gonzalez | Student in an Organized Health Care Education/Training Program | 225 Carr 2 Villa Caparra Plaza, Apt 1101, Guaynabo, PR 00966 | 2020-02-25 |
| 1609408624 | Erika Hernandez Cintron | Nurse Practitioner | Av San Patricio Maramar Plaza, Suite 1250, Guaynabo, PR 00966 | 2020-02-07 |
| 1720621725 | Jose Enrique Velez Palmer | Physician Assistant | 3-15 Madrid St., Urb. Torrimar, Guaynabo, PR 00966 | 2019-10-22 |
| 1275182388 | Jose Luis Ortiz-fullana | Student in an Organized Health Care Education/Training Program | Ave Norte Condominio Valles De Torrimar, Apt. I-305, Guaynabo, PR 00966 | 2019-09-11 |
| 1871149062 | Med Boutique | General Practice | D16 Calle Buen Samaritano, Urb Gardenville, Guaynabo, PR 00966 | 2019-08-13 |
| 1598326753 | Mariana Vazquez Vazquez | Psychologist | Y8 Calle Green Hill, Urb Garden Hills, Guaynabo, PR 00966 | 2019-06-27 |
| 1437710407 | Discal Corp | Clinic/Center | 131 Carretera 2, Guaynabo, PR 00966 | 2019-06-21 |
| Find all providers in zip 00966 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104213404 | Watchtower | Point of Service | 696 Calle Cubitas, Guaynabo, PR 00969-2809 | 2015-04-24 |
| 1255734554 | Optiqus Vision, Inc. | Point of Service | 1 Calle Acuarela Ste 103, Guaynabo, PR 00969-3591 | 2014-09-30 |
| 1174849244 | Dr. Luis Padilla Zapata, Optometra, C.s. P. | Point of Service | 469 Ave Esmeralda, Cond. Plaza Esmeralda Apto 263, Guaynabo, PR 00969-4280 | 2010-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990048 | Advance Medical & Administrative Support Corp | Point of Service | 1326 Salud, Condominio El Senorial Plaza Suite 413, Ponce, PR 00731 | 2019-03-11 |
| 1013491760 | La Montana Physician Group Inc | Point of Service | Edificio Tropical Plaza Suite 10, 272 Calle Marginal, Hatillo, PR 00659 | 2018-09-19 |
| 1659744878 | La Luna Healing Center LLC | Point of Service | 1261 Calle 52 Se, Urb La Riviera, San Juan, PR 00921-3139 | 2015-11-10 |
| 1063801462 | Salud Y Vida A Plenitud, Rg. Inc | Point of Service | 202 Calle Coco Plumoroso, Bayamon, PR 00956-9251 | 2015-01-22 |
| 1629485073 | Medicos Aliados Del Noreste | Point of Service | Calle 2 J2 Villas De Rio Grande, Rio Grande, PR 00745 | 2014-07-17 |
| 1841638764 | Lac Accounting Group Inc | Point of Service | 65 Calle Dr Ramon E Betances S, Mayaguez, PR 00680-4071 | 2013-06-13 |
| 1932449410 | Centro Millajen, Inc. | Point of Service | Rd 173 11.9 Km Barrio Rabanal, Cidra, PR 00739 | 2013-02-21 |
| 1861747537 | The Wellness Age, Corp | Point of Service | Ave Luis Munoz Marin Esq Troche Final, C#3, Caguas, PR 00725-0000 | 2012-07-19 |
| 1104108927 | Servicios Medicos Integrados De Lajas Csp | Point of Service | Carr 116 Km 2.0, Lajas, PR 00680-8116 | 2011-09-19 |
| 1528369741 | Pepul LLC | Point of Service | Calle Mayaguez #137 Apt 416, Apt 416, San Juan, PR 00917-5129 | 2010-11-04 |
| Find all providers with the same taxonomy | ||||
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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.