SERVICIOS MEDICOS DEL PLATA 4352 (NPI# 1013317734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013317734 |
Entity Type | Organization |
Organization Name | SERVICIOS MEDICOS DEL PLATA 4352 |
Practice Address |
349 Mendez Vigo Suite 10 Dorado PR 00646-0687 |
Mailing Address |
Po Box 687 Dorado PR 00646-0687 |
Practice Telephone | 7877966568 |
Enumeration Date | 2014-08-29 |
Last Update Date | 2014-08-29 |
Authorized Official Name | MRS. GLADYS NIEVES (ADMINISTRADORA) |
Authorized Official Telephone | 7877966568 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302F00000X | Exclusive Provider Organization | PR | Managed Care Organizations |
Street Address |
349 MENDEZ VIGO SUITE 10 |
City | DORADO |
State | PR |
Zip Code | 00646-0687 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497355440 | Andrea Carolina Ferre Martinez | Occupational Therapist | Carr. 695 Km 1.6 Bo. Higuillar Urb. Doraville, Dorado, PR 00646 | 2020-10-29 |
1881211704 | Hector Alejandro Mendez | Student in an Organized Health Care Education/Training Program | Paseo Los Corales I #570, Dorado, PR 00646 | 2020-06-26 |
1306461058 | Yasmin Marin Torres | Pharmacist | Carr. #2 Km 26.2 Bo Espinosa, Dorado, PR 00646 | 2020-06-09 |
1750900965 | Lilliam Davila | Nutritionist | Barrio Maguayo Parcelas El Cotto #91 Calle 5, Dorado, PR 00646 | 2020-04-09 |
1700411543 | John Ahmed Negron Medina | Student in an Organized Health Care Education/Training Program | Sabanera De Dorado, Camino De Susua, 417, Dorado, PR 00646 | 2020-03-11 |
1821636432 | Sunset Health & Rehabilitation | Clinic/Center | Carr 694 Km 3, 4 Barrio Maguayo, Dorado, PR 00646 | 2019-12-13 |
1679118871 | Ana Michelle Fernandez | Psychologist | 4 Pr-695, Dorado, PR 00646 | 2019-11-12 |
1265075758 | Amanda Santiago Matias | Social Worker | Urb. Molinos Del Rio Calle #202, Dorado, PR 00646 | 2019-10-28 |
1124660113 | Nattali Rodriguez Vega | Dentist | 491 Camino Del Yunque, Urb Sabanera Dorado, Dorado, PR 00646 | 2019-10-11 |
1831740315 | Gladiminet Lopez | Psychologist | Carr. 695 Km 2.0 Bo. Higuillar, Dorado, PR 00646 | 2019-09-25 |
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Taxonomy Code | 302F00000X |
Grouping | Managed Care Organizations |
Classification | Exclusive Provider Organization |
(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "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. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821453382 | Pediatric Management & Emergency Services | Exclusive Provider Organization | 503 Calle Ext S, Dorado, PR 00646-5016 | 2015-12-28 |
1205111911 | Golden Medical Practice | Exclusive Provider Organization | A6 Luis Munoz Rivera, Urb Martorell, Dorado, PR 00646-0000 | 2011-10-13 |
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1942743208 | Farmacia La Candelaria Inc. | Exclusive Provider Organization | Ave 111 Km 18.7, San Sebastian, PR 00667 | 2016-11-18 |
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1740653229 | Kiana Med Serv Inc | Exclusive Provider Organization | 529 Calle W Morales, Urb Estancias Del Golf, Ponce, PR 00730 | 2015-11-05 |
1538559596 | Aliansa De Salud Primaria Inc. | Exclusive Provider Organization | #14 Calle Betances, Santa Isabel, PR 00757 | 2015-01-29 |
1922402437 | A.collazo Md, Csp | Exclusive Provider Organization | Ave. Ponce By Pass 2225, Suite 409, Ponce, PR 00717-1322 | 2014-10-13 |
1831592120 | Sociedad De Salud Mental, LLC | Exclusive Provider Organization | 118 Carr 159 Ste 2b, Ortiz Medical Plaza, Corozal, PR 00783-2346 | 2014-10-01 |
1184039141 | Centro Obstetrico Y Ginecologico Incorporado | Exclusive Provider Organization | B9 Ave Los Veteranos, Urb Villa Rosa IIi, Guayama, PR 00784 | 2014-06-27 |
1659785673 | Jmg Surgical Services Psc | Exclusive Provider Organization | 15 Doctor Basora, Hospital Perea, Mayaguez, PR 00680 | 2014-06-18 |
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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.