ATLANTIS HEALTH CARE GROUP PUERTO RICO INC


Address: Calle Aniceto Diaz Interseccion 876, Expreso Trujillo Alto, Trujillo Alto, PR 00978
Phone: 7872927979

ATLANTIS HEALTH CARE GROUP PUERTO RICO INC (NPI# 1104907682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104907682
Entity Type Organization
Organization Name ATLANTIS HEALTH CARE GROUP PUERTO RICO INC
Practice Address Calle Aniceto Diaz Interseccion 876
Expreso Trujillo Alto
Trujillo Alto
PR 00978
Mailing Address Po Box 1350
St. Just Station
Saint Just
PR 00978-1350
Practice Telephone 7872927979
Practice Fax Number 7872927999
Mailing Telephone 7872927979
Mailing Fax Number 7872927999
Enumeration Date 2006-10-18
Last Update Date 2016-09-09
Authorized Official Name MRS. RUBETTE HARFORD (PRESIDENT & CEO)
Authorized Official Telephone 7872927979
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC #23 CNC 05-2 PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC #12 CNC 04-1 PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC #19 CNC 01-1 PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC #37 CNC 02-1 PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC #25 CNC 01-1 PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
27 CNC 02- PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC # 46 CNC 13- PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC NUM 36 PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC #28 CNC 03-2 PR Ambulatory Health Care Facilities
N 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC. #44 CNC12-0 PR Ambulatory Health Care Facilities
Y 261QE0700X Clinic/Center
Specialization: End-Stage Renal Disease (ESRD) Treatment
LIC #3 CNC PR Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922293240 Atlantis Health Care Group Puerto Rico Inc Clinic/Center Carretera #2 Km 113.5, Bo. Guerrero, Isabela, PR 00662-0000 2007-09-10
1568679777 Atlantis Health Care Group Puerto Rico Inc Clinic/Center Carretera 129 Km 25.6, Bo. Piletas Castro Borough, Lares, PR 00669 2007-05-17
1184831398 Atlantis Health Care Group Puerto Rico Inc Clinic/Center Guaynabo Medical Mall # 140, Avenida Las Cumbre, Guaynabo, PR 00970 2007-05-17

Office Location

Street Address CALLE ANICETO DIAZ INTERSECCION 876
EXPRESO TRUJILLO ALTO
City TRUJILLO ALTO
State PR
Zip Code 00978

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184268328 Hogar Crea Inc Counselor Carretera 848 Km .07, Saint Just, Trujillo Alto, PR 00978 2019-10-31
1487297982 Nereida Estrada-colon Social Worker Carr. 848 Km 0.7, Saint Just, PR 00978 2019-10-28
1770142812 Cmc Ambulance & Non Emergency Transport Ambulance Carr 848 Km 0.7, Edificio 3 Oficina 203 Bo Saint Just, Trujillo Alto, PR 00978 2019-06-12
1235634007 Aids Healthcare Foundation Pharmacy State Road 848 Km 1.0 Saint Just, Trujillo Alto, PR 00978 2018-03-26
1538699426 Aids Healthcare Foundation Internal Medicine State Rd 848 Km 1.0, Saint Just, Trujillo Alto, PR 00978 2017-06-14
1407230063 Janyse Betancourt Speech-Language Pathologist 222 Calle 6, Saint Just, Carolina, PR 00978 2015-07-14
1215270459 Sara Yajaira Cintron Registered Nurse Aniseto Diaz St Int 876, Saint Just, PR 00978 2013-04-05
1407199649 Damaris Jimenez Registered Nurse Aniseto Diaz St. Int. 876, Saint Just, PR 00978 2013-04-05
1013257807 Renal Health & Research Management, LLC Clinic/Center 807 Aniceto Diaz, Trujillo Alto, PR 00978 2013-02-15
1215298153 Brendalis Negron Registered Nurse Calle Aniceto Diaz Int 876, Saint Just Station, PR 00978 2012-06-07
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Taxonomy Information

Taxonomy Code 261QE0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization End-Stage Renal Disease (ESRD) Treatment

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023584380 Bio-medical Applications of Puerto Rico, Inc. Clinic/Center 212 Geminis, Brisas Las Marias, Vieques, PR 00765 2018-10-15
1881143295 Atlantis Health Care Group Puerto Rico, Inc. Clinic/Center 9 Calle Albolote, Design Plaza, Guaynabo, PR 00969-0000 2016-09-27
1194273128 Atlantis Health Care Group Puerto Rico, Inc. Clinic/Center Pr 3 Km 134.7, Plaza Guayama, Guayama, PR 00784-0000 2016-09-20
1871041004 Bio-medical Applications of Puerto Rico, Inc. Clinic/Center Carretera 172 Caguas A Cidra Salida 21, Hospital Menonita, Caguas, PR 00725 2016-09-16
1730637042 Bio-medical Applications of Puerto Rico, Inc. Clinic/Center Carr Pr 726 Km 0.7 Interior, (calle Jose C. Vazquez) Barrio Caonillas, Aibonito, PR 00705 2016-09-15
1023566312 Lavitta Dialysis Center, Inc Clinic/Center 471 Ave Munoz Rivera, Ponce, PR 00733-0531 2016-09-14
1669925632 Bio-medical Applications of Puerto Rico, Inc. Clinic/Center Calle 164 Km 69, Naranjito, PR 00719 2016-07-26
1366821290 Centro De Dialisis Clinic/Center Carretera 172 Caguas A Cidra, Salida 21, Caguas, PR 00725 2015-05-26
1619361342 Bio-medical Applications of Puerto Rico, Inc. Clinic/Center Carr. 584 Km 0.4, Parque Industrial Amuela, Juana Diaz, PR 00795 2015-03-19
1639562549 Bio-medical Applications of Puerto Rico, Inc. Clinic/Center 200 Plaza Las Piedras Shopping Center Rd, 183 Local Fs-5, Suite 260, Las Piedras, PR 00771 2015-03-17
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Competitor

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City TRUJILLO ALTO
Zip Code 00978

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Dataset Information

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.

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