BELLA VISTA POLICLINIC, INC (NPI# 1205187697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205187697 |
| Entity Type | Organization |
| Organization Name | BELLA VISTA POLICLINIC, INC |
| Other Organization Name | BELLA VISTA ENT GROUP |
| Practice Address |
Ave Hostos Number 770 Mayaguez PR 00681 |
| Practice Telephone | 7876526031 |
| Practice Fax Number | 7878053705 |
| Mailing Telephone | 7876526031 |
| Mailing Fax Number | 7878053705 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |
| Authorized Official Name | MR. ENRIQUE RIVERA (CFO) |
| Authorized Official Telephone | 7876526031 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | BELLA VISTA POLICLINIC, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
200394 | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Bella Vista ENT Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043246788 | Bella Vista Policlinic, Inc | Clinic/Center | Ave Hostos, Number 770, Mayaguez, PR 00682-6353 | 2006-06-24 |
| Street Address |
AVE HOSTOS NUMBER 770 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861435539 | Hernan Alonso Cruz-sanchez | Specialist | Ave Hostos, #410, Mayaguez, PR 00682-6353 | 2006-06-13 |
| 1164809182 | Evy Ann Ryan | Nutritionist | Ave Hostos, 201 Edificio Office Park Iv Building, Mayaguez, PR 00682-6353 | 2015-04-28 |
| 1144514951 | Bella Vista Policlinic Inc | Clinic/Center | Ave Hostos, Number 770, Mayaguez, PR 00682-6353 | 2011-06-09 |
| 1861786501 | Nomaris Cancel-cruz | Pharmacist | Ave Hostos, 505, Mayaguez, PR 00682-6353 | 2011-05-29 |
| 1811221088 | Western Radiotherapy Cancer Center | Radiologic Technologist | Ave Hostos, Centro Medico Ramon E. Betances, Mayaguez, PR 00682-6353 | 2009-09-22 |
| 1013140383 | Mayaguez Medical Center Dr Ramon Emeterio Betances Inc | Clinic/Center | Ave Hostos, #410, Mayaguez, PR 00682-6353 | 2009-09-02 |
| 1528237617 | Carmen I Lopezacevedo | Physical Therapist | Ave Hostos, Suite 1, Mayaguez, PR 00682-6353 | 2008-02-22 |
| 1013128248 | Jacqueline Jimenez | Speech-Language Pathologist | Ave Hostos, Suite 15, Mayaguez, PR 00682-6353 | 2007-05-28 |
| 1508070053 | Farmacia Policlinica Bella Vista | Pharmacy | Ave Hostos, Number 770, Mayaguez, PR 00682-6353 | 2007-05-10 |
| 1588877450 | Dolly E. Lugo | Pharmacist | Ave Hostos, # 770, Mayaguez, PR 00682-6353 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841826385 | Iocp Optical LLC | Optometrist | Edificio 101 Mendez Vigo, Mayaguez, PR 00681 | 2020-03-17 |
| 1295365674 | Yaniel A Garcia Cortes | Pharmacist | Carr#2 Puerto Rico, Mayaguez, 00681, Mayaguez, PR 00681 | 2020-01-24 |
| 1922647007 | Melissa Ramirez-gonzalez | Pharmacy | Carr 352 Km 4.6 Bo Leguisamo, Mayaguez, PR 00681 | 2020-01-06 |
| 1942849849 | Joshua Rafael Gonzalez Echevarria | Nurse Anesthetist, Certified Registered | Calle Doctor Barbosa # 15, Mayaguez, PR 00681 | 2019-12-26 |
| 1619516432 | Melodie Katherine Padilla Santiago | Psychologist | Calle Ramon Emeterio Betances, #392, Mayaguez, Pr, PR 00681 | 2019-12-26 |
| 1831757350 | Juan Cristian Perez Olmos | Family Medicine | 410 Carretera 2 Ave Hostos, Bo Sabalos, Mayaguez, PR 00681 | 2019-05-30 |
| 1790342491 | Freddie Irizarry-delgado | Student in an Organized Health Care Education/Training Program | 15 Calle Doctor Basora, Mayaguez, PR 00681 | 2019-05-29 |
| 1720553514 | Optical Supercenter Arecibo Corp. | Optometrist | 4 Calle Zafiro, Vista Verde, Mayaguez, PR 00681 | 2018-10-08 |
| 1194215756 | Manuel Morillo Menendez | Family Medicine | 410 Ave Hostos Carr 2, Bo Sabalos, Mayaguez, PR 00681 | 2018-05-18 |
| 1972017325 | Pedro L. Cortes Jr. | Psychologist | Professional Building Plaza, Avenida Hostos 770 Suite 302, Mayaguez, PR 00681 | 2017-11-21 |
| Find all providers in zip 00681 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1881004273 | Mariela Lugo | Clinic/Center | 76 Tenerife Urb Sultana, Mayaguez, PR 00680 | 2014-05-06 |
| 1255750204 | Servicios Quirurgicos Del Caribe, P.s.c | Clinic/Center | #349 Ave. Hostos Carr. 2, Medical Emporium II Suite A-24, Mayaguez, PR 00680 | 2014-04-07 |
| 1871923623 | Lizanabell Torres-medicina Interna Csp | Clinic/Center | Mayguez Mall, Hostos Avenue 410 Suite 106, Mayaguez, PR 00680-1251 | 2013-11-14 |
| 1265869168 | Western Pr Neurological Clinic Csp | Clinic/Center | Medical Emporium II Carr #2, Nostos Avenue Ky. 157, Suite 3a, Mayaguez, PR 00680 | 2013-10-09 |
| 1811517055 | Franceschini Gynecology & Aesthetics | Clinic/Center | Mayaguez Medical Center Suite 121, Ave. Hostos 621 Bo. Sabalos Carr# 2, Mayaguez, PR 00682 | 2020-04-17 |
| 1982830956 | Advanced Renal Care Institute | Clinic/Center | 359 Ave Hostos Ste 201, Office Park Iv, Mayaguez, PR 00680-1507 | 2009-06-04 |
| 1023273752 | Mayaguez Nuclear Pet Center | Clinic/Center | 351 Ave Hostos, Medical Emporium Suite 205, Mayaguez, PR 00680-1502 | 2008-07-22 |
| 1952587578 | Mayaguez Nuclear Pet Center | Clinic/Center | 351 Ave Hostos, Suite 205, Mayaguez, PR 00680-1502 | 2008-01-14 |
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| 1295269900 | Endomed LLC | Clinic/Center | Bs4 Ave Las Americas, Urb Bairoa, Caguas, PR 00917 | 2017-04-19 |
| 1598206039 | Dr. Francisco Vazquez P.s.c. | Clinic/Center | 75 Luis Munoz Marin, Cayey, PR 00736 | 2017-03-16 |
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| 1386199032 | Ncderm LLC | Clinic/Center | 500 Degetau Avenue, Hima Plaza I, Suite 513, Caguas, PR 00725 | 2016-08-23 |
| 1194278689 | B Derm Psc | Clinic/Center | C4 Calle Bromelia, Parque De Bucare, Guaynabo, PR 00969 | 2016-08-01 |
| 1518318344 | 'hormones' Endocrinology Health & Wellness Clinic LLC | Clinic/Center | 67 Ave Baldorioty W, Cayey, PR 00736-3834 | 2016-06-22 |
| 1417302464 | Agd Endocrinology LLC | Clinic/Center | Bs4 Avenida Las Americas, Urbanizacion Bairoa, Caguas, PR 00725 | 2016-04-27 |
| 1912367772 | Servicios Medicos Pediatricos | Clinic/Center | 17 Main and Calle Cibeles, El Retiro Housing, San German, PR 00683-4459 | 2016-03-07 |
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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.