CENTRALIS MED LLC (NPI# 1154961613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154961613 |
| Entity Type | Organization |
| Organization Name | CENTRALIS MED LLC |
| Practice Address |
Ave. Bairoa, Hospital Panamericano Bairoa Shopping Center #126 Caguas PR 00725 |
| Mailing Address |
5016 Paseo La Constancia Coto Laurel PR 00780-2311 |
| Practice Telephone | 7875106187 |
| Practice Fax Number | 7878481588 |
| Mailing Telephone | 7875106187 |
| Mailing Fax Number | 7878481588 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | ANGEL MARTINEZ (PRESIDENT) |
| Authorized Official Telephone | 7875106187 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083151757 | Centralis Med LLC | Social Worker | Ave. Bairoa, Bairoa Shopping Center, #126, Caguas, PR 00725 | 2017-01-19 |
| Street Address |
AVE. BAIROA, HOSPITAL PANAMERICANO BAIROA SHOPPING CENTER #126 |
| City | CAGUAS |
| State | PR |
| Zip Code | 00725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264980 | David Edgardo Sanchez-real | Student in an Organized Health Care Education/Training Program | Urb Villa Blanca Cll Jade, Caguas, PR 00725 | 2020-10-27 |
| 1578162368 | Aleidy Mojica | Registered Nurse | Carr 796 Km 7.6 Sect. Bairoa, Bairoa, Caguas, PR 00725 | 2020-10-22 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1619583820 | Jose Francisco Rovira IIi | General Practice | Av. Gautier Benitez, Consolidated Mall, Suite C20-a, Caguas, PR 00725 | 2020-09-22 |
| 1467068296 | Alexandra Maria Rincones | Student in an Organized Health Care Education/Training Program | L9 Calle 5 Bonneville Terrace, Caguas, PR 00725 | 2020-09-17 |
| 1316551773 | Luis Alberto Rolon Ortega Sr. | Nurse Anesthetist, Certified Registered | Urb. Turabo Garden 725 Carr. 172, Caguas, PR 00725 | 2020-09-03 |
| 1033729835 | Roberto Jose Torres | Student in an Organized Health Care Education/Training Program | Urb. Turabo Garden Carr. #172, Caguas, PR 00725 | 2020-08-06 |
| 1891305744 | Carolina Huertas Ayala | Student in an Organized Health Care Education/Training Program | Condominio Paseo Degetau, Apt. 2805, Caguas, PR 00725 | 2020-08-05 |
| 1184233306 | Jasseline I Gonzalez | Social Worker | Ave Jose Mercado Esquina Cristobal Colon #121, Caguas, PR 00725 | 2020-07-23 |
| 1932727161 | Nalyan Cardona Vaquez | Nutritionist | Street Aranjuez 641, Urb. La Cima Ciudad Jardin Bairoa, Caguas, PR 00725 | 2020-07-14 |
| Find all providers in zip 00725 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093909996 | Shirley Perez-lopez | Family Medicine | X2 Ave Luis Munoz Marin, Urb Mariolga, Caguas, PR 00725 | 2007-09-04 |
| 1821046939 | Alfredo Beauchamp | Family Medicine | Degetau Ave. A17 San Alfonso, Box5327, Caguas, PR 00726-5327 | 2006-05-04 |
| 1356392708 | Caridad S Vargas | Family Medicine | Hima Plaza I, Suite 501, Caguas, PR 00725 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386015162 | Recinto De Ciencias Medicas | Family Medicine | Carr.3 Km 8.3 Ave 65 De Infanteria Hospital, Upr Federici Trilla, Carolina, PR 00984-0001 | 2015-10-19 |
| 1245656388 | Sanus Corp | Family Medicine | 530 Calle Juan Davila, Urb. Los Ingenieros, San Juan, PR 00918-2750 | 2014-03-13 |
| 1043644412 | Deric Alejandro Lopez | Family Medicine | Carretera # 2 Km 47.7, Manati, PR 00674 | 2013-08-21 |
| 1811336886 | Anibal Rivera-rivera | Family Medicine | 1772 Calle Glasgow, San Juan, PR 00921-4810 | 2013-06-22 |
| 1922339225 | Medicos De Familia Imf, Csp | Family Medicine | Fd Roosevelt #1028, Puerto Nuevo, San Juan, PR 00920-2904 | 2010-01-26 |
| 1770726150 | Javier Anaya Gonzalez | Family Medicine | Ave. Campo Rico A-6, Castellana Gardens, Carolina, PR 00983 | 2009-04-14 |
| 1811026966 | Gilberto Ramirez Aponte | Family Medicine | Espada 451 Urb Roosevelt, Hato Rey, PR 00918 | 2007-03-05 |
| 1407991813 | Ivonne Maria Vega | Family Medicine | 227 Jardin Tropical, Jardines De Vega Baja, Vega Baja, PR 00693-3980 | 2007-02-21 |
| 1821134297 | Luis Miguel Diaz | Family Medicine | 158 Calle San Felipe, Arecibo, PR 00612 | 2007-01-30 |
| 1093867368 | Alejandro A. Medina | Family Medicine | Calle Isabel II, Edificio Joaquin Montesino, Oficina 107, Bayamon, PR 00961 | 2007-01-17 |
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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.