CLUB DEL DESARROLLO INTEGRAL, PSC (NPI# 1134650880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134650880 |
| Entity Type | Organization |
| Organization Name | CLUB DEL DESARROLLO INTEGRAL, PSC |
| Practice Address |
110 Calle Carazo Guaynabo PR 00969-5717 |
| Practice Telephone | 7877901583 |
| Mailing Telephone | 7877901583 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Authorized Official Name | MR. RAUL RIVERA VEGA (PRESIDENT) |
| Authorized Official Telephone | 7877901583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1361 | PR | Ambulatory Health Care Facilities |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
1008 | PR | Ambulatory Health Care Facilities |
| Street Address |
110 CALLE CARAZO |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00969-5717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821600776 | Arnaldo Javier Santa-cruz IIi | Student in an Organized Health Care Education/Training Program | Calle 2a #112 El Palmar De Torrimar, Guaynabo, PR 00969 | 2020-08-21 |
| 1942812904 | Centro De Bienestar Para La Mujer LLC | Obstetrics & Gynecology | Caparra Gallery 107, Ortegon Ave., Suite 312, Guaynabo, PR 00969 | 2020-08-20 |
| 1912522814 | Vyrmar Mangual Laborde | Naturopath | Colinas Metropolitanas, Collores I-25, Guaynabo, PR 00969 | 2020-06-16 |
| 1912528621 | Jonathan Rojas-munoz | Pharmacist | Calle Cristalina #20, Urb. Munoz Rivera, Guaynabo, PR 00969 | 2020-05-04 |
| 1699300608 | Mariella Molina Rossy | Chiropractor | Cond Atrium Park, 27 Regina Medina Apt 402b, Guaynabo, PR 00969 | 2020-03-10 |
| 1861024879 | Alejandro Jose Rodriguez | Student in an Organized Health Care Education/Training Program | Ruisenor J4, Tierra Alta 3, Guaynabo, PR 00969 | 2020-02-07 |
| 1881226868 | Jose Antonio Matos Negron | General Practice | Carr 199 Km 1.2 Av Las Cumbres, Guaynabo, PR 00969 | 2020-02-07 |
| 1699306589 | Nicole Joanette Hernandez | Psychologist | Carr. 833 Vistas De La Colina Apt. 2301, Guaynabo, PR 00969 | 2020-01-29 |
| 1104457449 | Lizzette Marie Mendez | Psychologist | Calle Rivera Edif. Pineiro 20, Guaynabo, PR 00969 | 2020-01-27 |
| 1306476338 | Yanelis Vallejo Perez | Pharmacy Technician | Ave. Las Cumbres Carr. 199 Km. 1.2, Guaynabo, PR 00969 | 2020-01-17 |
| Find all providers in zip 00969 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538548474 | Pre Health LLC | Clinic/Center | 169 Calle Carrazo Km 6.9, Bo Camarones, Guaynabo, PR 00970 | 2015-05-26 |
| 1477191096 | Hpm Foundation Inc | Clinic/Center | Avenida Ponce De Leon, 121 Num Comunidad Barrio Amelia, Guaynabo, PR 00965 | 2019-12-13 |
| 1992253637 | Guaynabo Health Providers, Corp. | Clinic/Center | 45 Calle Diego Vega, Barrio Amelia, Guaynabo, PR 00965 | 2016-09-12 |
| 1871868547 | Guaynabo Health Providers, Corp. | Clinic/Center | 140 Ave Las Cumbres, Guaynabo Medical Mall, Guaynabo, PR 00969-5523 | 2012-03-14 |
| 1699098186 | Neo Salutis Inc | Clinic/Center | 63 Calle Carazo, Guaynabo, PR 00969-5714 | 2010-03-11 |
| 1538248265 | Centro Medico Diagnostico Munoz Rivera | Clinic/Center | 59 Ave Esmeralda, Urb.munoz Rivera, Guaynabo, PR 00969-4429 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558968487 | Clinica De Terapias Santa Isabel Inc | Clinic/Center | Calle Baldorioty #21c, Santa Isabel, PR 00757 | 2020-10-05 |
| 1154968790 | Clinica Las Americas Guaynabo | Clinic/Center | 6 Carr 149 # Km, Villalba, PR 00766-3401 | 2019-12-03 |
| 1962049510 | Clinica Las Americas Guaynabo | Clinic/Center | 201 Sabanetas Ind Pk, Ponce, PR 00716-4401 | 2019-12-03 |
| 1629611835 | Clinica Las Americas Guaynabo | Clinic/Center | 400 Ave Fd Roosevelt Ste 101, San Juan, PR 00918-2129 | 2019-10-21 |
| 1437706975 | Strong Physical Therapy & Performance | Clinic/Center | K172 Calle Guatemala, Bayamon, PR 00956-2836 | 2019-08-20 |
| 1932751617 | Cesie Corp | Clinic/Center | Urb Bonneville Terrace, A15 Ave Degetau, Caguas, PR 00726 | 2019-07-12 |
| 1528525771 | International Medical Solution LLC | Clinic/Center | 1 Calle Santa Rosa San Juan Garden, Rio Piedras, PR 00926-0092 | 2019-02-25 |
| 1164987855 | Cidra & Montana, LLC | Clinic/Center | Calle Jose De Diego 49, Cidra, PR 00739 | 2019-02-06 |
| 1841768371 | Clinica Las Americas Guaynabo, Inc | Clinic/Center | 1825 Calle Navarra, Edf Torre Sofia, Ponce, PR 00717 | 2018-11-02 |
| 1407323009 | Clinica Las Americas Guaynabo | Clinic/Center | 3 Boulevard Del Rio Ramal, Boulevard Plaza Offices, Humacao, PR 00791 | 2018-11-01 |
| 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.