POLICLINICA SAN PEDRO PSC (NPI# 1003003484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003003484 |
| Entity Type | Organization |
| Organization Name | POLICLINICA SAN PEDRO PSC |
| Other Organization Name | CDT POLICLINICA SAN PEDRO |
| Practice Address |
211 Calle Morse Arroyo PR 00714-2350 |
| Mailing Address |
Po Box 818 Arroyo PR 00714-0818 |
| Practice Telephone | 7878393980 |
| Practice Fax Number | 7878392515 |
| Mailing Telephone | 7878393980 |
| Mailing Fax Number | 7878392515 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | LAURA C RIVERA IRIZARRY (ADMINISTRATOR) |
| Authorized Official Telephone | 7878393980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
229 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | PROSSAM | 37394 | 01 |
| Other Name | Type Code |
|---|---|
| CDT Policlinica San Pedro | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285648022 | Policlinica San Pedro Psc | Clinical Medical Laboratory | 211 Calle Morse, Arroyo, PR 00714-2350 | 2006-07-28 |
| 1821070640 | Policlinica San Pedro Psc | Clinic/Center | 211 Calle Morse, Arroyo, PR 00714-2350 | 2005-11-17 |
| Street Address |
211 CALLE MORSE |
| City | ARROYO |
| State | PR |
| Zip Code | 00714-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497742316 | Jose Sandalio Rivera Irizarry | General Practice | 211 Calle Morse, Arroyo, PR 00714-2350 | 2005-10-05 |
| 1881914000 | Grupo Medico Policlinica San Pedro Medicare Advantage | Specialist | 211 Calle Morse, Arroyo, PR 00714-2350 | 2010-06-10 |
| 1295057966 | Grupo Medico Policlinica San Pedro Csp | Specialist | 211 Calle Morse, Arroyo, PR 00714-2350 | 2010-02-23 |
| 1245442235 | Policlinica San Pedro Reforma | General Practice | 211 Calle Morse, Arroyo, PR 00714-2350 | 2007-05-04 |
| 1700961679 | Farmacia Cdt Policlinica San Pedro | Pharmacy | 211 Calle Morse, Arroyo, PR 00714-2350 | 2006-10-26 |
| 1285648022 | Policlinica San Pedro Psc | Clinical Medical Laboratory | 211 Calle Morse, Arroyo, PR 00714-2350 | 2006-07-28 |
| 1821070640 | Policlinica San Pedro Psc | Clinic/Center | 211 Calle Morse, Arroyo, PR 00714-2350 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538710173 | Grace Marie Rivera | Technician | Urb Miramar 2, Calle 7 G-6, Arroyo, PR 00714 | 2019-09-25 |
| 1215495585 | Picart Health Services Psc. | Family Medicine | Ave. Los Veteranos B-4, Villa Rosa I., Guayama, PR 00714 | 2019-03-06 |
| 1881158061 | Angel Ortiz De Jesus | General Practice | Hm138 Urb San Antonio, Arroyo, PR 00714 | 2019-01-22 |
| 1710458674 | Fermin L De Jesus | General Practice | Carr 753 Km 6.4, Bo Yaurel Sector Palmarejo, Arroyo, PR 00714 | 2018-12-17 |
| 1740707314 | Centro Familiar Menonita Arroyo | Clinic/Center | Carretera 753 Sector Cuatro Calles, Arroyo, PR 00714 | 2017-08-24 |
| 1942720800 | Vip Medical Transport | Non-emergency Medical Transport (VAN) | 7 Calle J16, Urb Ext Valles De Arroyo, Arroyo, PR 00714 | 2017-06-22 |
| 1679020192 | Nareida Elisa Ortiz | Pharmacist | 800 Carretera 3, Arroyo Town Center, Arroyo, PR 00714 | 2016-09-01 |
| 1689022592 | Vivian Marie Torres Garcia | Radiologic Technologist | Hc 1 Box 3179, Arroyo, PR 00714 | 2016-06-01 |
| 1902275159 | Centro De Salud Familiar Dr. Julio Palmierri Ferri Inc | Clinic/Center | 46 Calle Morse Esquina Valentina, Arroyo, PR 00714 | 2015-09-17 |
| 1962881888 | Sherley Aguirre | Registered Nurse | V13 Calle 14, Extension Valles De Arroyo, Arroyo, PR 00714 | 2015-05-26 |
| Find all providers in zip 00714 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902275159 | Centro De Salud Familiar Dr. Julio Palmierri Ferri Inc | Clinic/Center | 46 Calle Morse Esquina Valentina, Arroyo, PR 00714 | 2015-09-17 |
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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.