WALDO JESUS SANTIAGO COLBERG (NPI# 1134746944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134746944 |
| Entity Type | Individual |
| Full Name | WALDO JESUS SANTIAGO COLBERG |
| Practice Address |
100 Ave Laurel Bayamon PR 00956-4816 |
| Mailing Address |
Po Box 1743 Cabo Rojo PR 00623-1743 |
| Practice Telephone | 7877983001 |
| Mailing Telephone | 7879003822 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-07-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
100 AVE LAUREL |
| City | BAYAMON |
| State | PR |
| Zip Code | 00956-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407810849 | Francisco Gomez Goytia | Radiology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2006-04-13 |
| 1043821689 | Grecia Marie Santaella Mendez | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-16 |
| 1326659871 | Gretchel J Santiago-jhaveri | Psychologist | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-10 |
| 1215547013 | Marli Carolina Almonte | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-06 |
| 1376153536 | Henry Alexander Ruberte | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-03 |
| 1972134344 | Fenix Med | Radiology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-02-04 |
| 1427698208 | Puerto Rico Advanced Urology Center, LLC | Clinic/Center | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-01-09 |
| 1720633563 | Isis E Silvestrini-bonilla | Pathology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-08-08 |
| 1295389906 | Monica Montes | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-07-31 |
| 1841844115 | John Derrick Van Doren | Internal Medicine | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437514 | Julio Alberto Cedeno Alicea | Pharmacist | Carr. 174 Km. 10.2, Sec. La Morenita Bo. Guaraguao, Bayamon, PR 00956 | 2020-11-03 |
| 1851992275 | Patricia Santurio | Pharmacist | Farmacia Magda C 30, Santa Juanita, Bayamon, PR 00956 | 2020-11-03 |
| 1336754423 | Gustavo Jose Morey Cruz | Physical Therapist | Urb Santa Juanita Calle 30 Uu #43, Bayamon, PR 00956 | 2020-09-15 |
| 1609480961 | Great Vision, LLC | Optometrist | Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 | 2020-09-03 |
| 1861004285 | Glorilis Zambrana Sr. | Social Worker | Carr. 174 Km 15.3 Barrio Guaraguao Arriba, Sector Chorrera, Bayamon, PR 00956 | 2020-08-18 |
| 1568073484 | Luz Myriam Bracero | Counselor | Carr 174 Km 8.3, Bo Guaraguao Abajo, Bayamon, PR 00956 | 2020-08-13 |
| 1316565641 | Aa Home Rental Inc | Clinical Medical Laboratory | Carr 829 Km,6.2, Bayamon, PR 00956 | 2020-07-13 |
| 1750909495 | Agustin Vazquez | Physician Assistant | Carr 167 Km 10.9, Bayamon, PR 00956 | 2020-07-09 |
| 1710509211 | Carmen Luz Rosa Santiago | Registered Nurse | Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 | 2020-05-07 |
| 1649891193 | Omar Pantaleon | Student in an Organized Health Care Education/Training Program | Avenida Laurel, Santa Juanita, Bayamon, PR 00956 | 2020-05-06 |
| Find all providers in zip 00956 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565134 | Paola B Fernandez Molinary | Student in an Organized Health Care Education/Training Program | Alborada, El Condominio, 1225, Apartment 2232, Bayamon, PR 00959 | 2020-10-15 |
| 1104430107 | Rosa Lizeth Frias | Student in an Organized Health Care Education/Training Program | 100 Calle 10 Apt B303, Bayamon, PR 00959-8893 | 2020-09-07 |
| 1194333492 | Pedro W Hernandez-aponte | Student in an Organized Health Care Education/Training Program | U8 Calle 13, Bayamon, PR 00959-5141 | 2020-07-22 |
| 1760006647 | Omar Rodriguez-perez | Student in an Organized Health Care Education/Training Program | Laurel Ave. Urb. Santa Juanita, Bayamon, PR 00960-6032 | 2020-06-05 |
| 1649891193 | Omar Pantaleon | Student in an Organized Health Care Education/Training Program | Avenida Laurel, Santa Juanita, Bayamon, PR 00956 | 2020-05-06 |
| 1336769884 | Otilio Jose Rivera | Student in an Organized Health Care Education/Training Program | Laurel, Ave Santa Juanita, Bayamon, PR 00960 | 2020-04-24 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1649809443 | Charles Alexander Castro Soto | Student in an Organized Health Care Education/Training Program | Calle 27 Gg-11 Urb. Cana, Bayamon, PR 00957 | 2020-04-03 |
| 1336776244 | Andrea M Devaris Martinez | Student in an Organized Health Care Education/Training Program | Universidad Central Del Caribe School of Medicine, Bayamon, PR 00960-6032 | 2020-03-23 |
| 1841826617 | Maidalidys Alcocer | Student in an Organized Health Care Education/Training Program | Urb. Santa Rosa Calle 19 21-13, Bayamon, PR 00959 | 2020-03-12 |
| Find all providers in BAYAMON | ||||
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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.