HEALTH SOUTH PRIMARY CLINIC (NPI# 1114285103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114285103 |
| Entity Type | Organization |
| Organization Name | HEALTH SOUTH PRIMARY CLINIC |
| Practice Address |
Torre Med San Lucas Ponce PR 00716-4728 |
| Mailing Address |
Po Box 800942 Coto Laurel PR 00780-0942 |
| Practice Telephone | 7872846184 |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |
| Authorized Official Name | MS. DENISSE GONZALEZ (PRESIDENT) |
| Authorized Official Telephone | 7872846184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
TORRE MED SAN LUCAS |
| City | PONCE |
| State | PR |
| Zip Code | 00716-4728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215031547 | Jorge I. Rodriguez Lugo | Internal Medicine | Torre Med San Lucas, 5to Piso Oficina 508, Ponce, PR 00716-4728 | 2006-09-08 |
| 1710362702 | Sanfina, Csp | Preferred Provider Organization | Torre Med San Lucas, 909 Tito Castro Ave Suite 609, Ponce, PR 00716-4728 | 2015-07-20 |
| 1891104188 | Southwest Oto and Head & Neck Surgery,psc | Otolaryngology | Torre Med San Lucas, Ave. Tito Castro, Ponce, PR 00716-4728 | 2014-08-12 |
| 1689018723 | Breast Cancer Care, Csp | Internal Medicine | Torre Med San Lucas, , Suites 508-509, Ponce, PR 00716-4728 | 2013-04-19 |
| 1851632210 | First Choice Prosthetic | Durable Medical Equipment & Medical Supplies | Torre Med San Lucas, Ponce, PR 00716-4728 | 2013-03-11 |
| 1992073233 | South Cancer Center | Clinic/Center | Torre Med San Lucas, 5to Piso Oficina 508, Ponce, PR 00716-4728 | 2011-12-01 |
| 1174759591 | Elsie N La Texera Csp | Clinic/Center | Torre Med San Lucas, Avenida Tito Castro Suite 125, Ponce, PR 00716-4728 | 2009-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148041 | Amanda Ivette Orta Colon | General Practice | Los Caobos C/guayacan #1691, Ponce, PR 00716 | 2020-09-09 |
| 1568074052 | Isabel Victoria Vazquez Morales | Student in an Organized Health Care Education/Training Program | 388 Zona Industrial Rapada 2, Ponce, PR 00716 | 2020-08-18 |
| 1629687199 | Maria Elena Carvajal Mock | Student in an Organized Health Care Education/Training Program | La Alhambra, Calle Lindaraja 2609, Ponce, PR 00716 | 2020-07-30 |
| 1518576651 | Gabriel Domingo Palmieri Lagares | Student in an Organized Health Care Education/Training Program | Villa Del Carmen Ave Constancia 4406, Ponce, PR 00716 | 2020-07-24 |
| 1417565151 | Jose Rafael Pascual | Student in an Organized Health Care Education/Training Program | Phsu,388 Zona Industrial Reparada 2,ponce,pr 00716, Ponce, PR 00716 | 2020-07-20 |
| 1790302412 | Isha Marie Valerio Martinez | Social Worker | Urb Villa Del Carmen Ave Constancia, 4407, Ponce, PR 00716 | 2020-06-29 |
| 1619592011 | Luz Jeilin Morales Cruz | Psychologist | Urb Inductrial Reparada #291, Ponce, PR 00716 | 2020-06-11 |
| 1609491208 | Hogar Las Aguilas Incorporado | Custodial Care Facility | La Rambla Office Park, 621 Carr 14 Calle Marginal, Ponce, PR 00716 | 2020-06-10 |
| 1841813607 | Special Tactics and Rescue Services Corp | Case Management | 6020 Amalia Marin, Trucha, Ponce, PR 00716 | 2020-05-27 |
| 1629691274 | Heidi Ann Negron | Registered Nurse | Parcelas Sabanetas 25 Julio, 132, Ponce, PR 00716 | 2020-05-18 |
| Find all providers in zip 00716 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699253765 | Red De Medicos Asociados Del Sur, Inc | Clinic/Center | Pr10 Km 0.1 Barrio Canas, Ponce, PR 00731 | 2018-08-01 |
| 1386122471 | Red De Medicos Asociados Del Sur, Inc | Clinic/Center | Centro Coemrcial Glenview Gardens Local 4, Ponce, PR 00732 | 2018-08-01 |
| 1023547643 | Arist Medical Sciences University, Pbc | Clinic/Center | 396 Calle Dr Luis F Sala, Ponce, PR 00716 | 2017-06-07 |
| 1609300318 | Zullimary Rodriguez Galarza | Clinic/Center | 405 Calle Francisco Palau, Urbanization San Jose, Ponce, PR 00728 | 2017-04-19 |
| 1124576202 | Vacunas Xpress Inc | Clinic/Center | 183 Avenida Universidad Interamericana 109, Ponce, PR 00732-7763 | 2016-09-16 |
| 1104216050 | Primary Medical Group, C.s.p. | Clinic/Center | Calle Mendez Vigo #24, Ponce, PR 00733 | 2015-01-30 |
| 1396165064 | Centro Pediatrico Del Caribe | Clinic/Center | 2279 Pbp Caribbean Medical Centre, Suite 2312-2, Ponce, PR 00717 | 2014-04-22 |
| 1962824458 | Tamara Valls | Clinic/Center | Marina Esquina Ferrocarril 9105, Ponce, PR 00731 | 2014-01-17 |
| 1346678711 | Vacunas Plus Ponce, Inc | Clinic/Center | Calle Ferrocarril Esquina Marina 9105, Segundo Piso Edif Orengo Medical Building, Ponce, PR 00717 | 2013-10-23 |
| 1891064945 | Apex Capital Corp | Clinic/Center | 916 Ave Tito Castro, Suite 19, Ponce, PR 00716 | 2011-12-19 |
| Find all providers in PONCE | ||||
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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.