NOVA INFUSION & COMPOUNDING PHARMACY (NPI# 1215198304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215198304 |
| Entity Type | Organization |
| Organization Name | NOVA INFUSION & COMPOUNDING PHARMACY |
| Other Organization Name | CEPA FAJARDO |
| Practice Address |
404 Ave General Valero Fajardo PR 00738-3901 |
| Mailing Address |
Po Box 3968 Guaynabo PR 00970-3968 |
| Practice Telephone | 7877201000 |
| Practice Fax Number | 7876533535 |
| Mailing Telephone | 7877201000 |
| Mailing Fax Number | 7876533535 |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2008-06-20 |
| Authorized Official Name | MR. MILTON EZEQUIEL SEGARRA (PRESIDENT) |
| Authorized Official Telephone | 7877201000 |
| Is Organization Subpart | Y |
| Parent Organization Name | NOVA INFUSION & COPOUNDING PHARMACY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cepa Fajardo | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134385362 | Nova Infusion & Compounding Pharmacy | Clinic/Center | Calle Santa Cruz 70, Urbanizacion Santa Cruz, Bayamon, PR 00960 | 2008-08-07 |
| 1093976268 | Nova Infusion & Compounding Pharmacy | Clinic/Center | Avenida Luis Munos Marin Urbanizacion Mariolga, Caguas, PUERTO RICO 007226 | 2008-06-20 |
| 1265693345 | Nova Infusion & Compounding Pharmacy | Clinic/Center | 3 Calle Font Martelo E, Humacao, PR 00791-3617 | 2008-06-20 |
| Street Address |
404 AVE GENERAL VALERO |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750316006 | Centro Medico Del Turabo Inc. | General Acute Care Hospital | 404 Ave General Valero, Fajardo, PR 00738-3901 | 2006-07-12 |
| 1376142844 | Grace Wandersleben | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2020-10-25 |
| 1437785474 | Prashanth Jayaraj | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2020-03-22 |
| 1760016893 | Rhina A Grullon | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2020-02-27 |
| 1689214942 | Jorge Enrique Sanchez | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2020-01-14 |
| 1053957605 | Juan Luis Vazquez | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2019-11-19 |
| 1568026102 | Tiana Aponte Aponte | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2019-04-29 |
| 1538661517 | Jose Osvaldo Alba | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2018-03-06 |
| 1578002903 | Johan Vargas | Family Medicine | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2017-02-17 |
| 1497108393 | Khaled Ibrahim | General Practice | 404 Ave General Valero, Fajardo, PR 00738-3998 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| 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 |
|---|---|---|---|---|
| 1396170049 | Gobierno Municipal De Fajardo | Clinic/Center | Urbanizacion Monte Brisas, Calle Circular, Fajardo, PR 00738-0865 | 2013-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131625 | Inmuni, LLC | Clinic/Center | Carr 417 Km 4.5, Bo. Asomante, Aguada, PR 00602 | 2020-10-16 |
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1588270490 | Phm Multidisciplinary Clinic Cabo Rojo LLC | Clinic/Center | Pr 100, Galeria 100 Shopping Center Lot No. 13, Cabo Rojo, PR 00623 | 2020-09-17 |
| 1801408489 | Vaccines & Vitamins Wellness Center | Clinic/Center | 293 Ave Winston Churchill, San Juan, PR 00926-6604 | 2020-08-17 |
| 1366060766 | Prepven Corp | Clinic/Center | 315 Calle Manuel Domenech Ste 1, San Juan, PR 00918-3513 | 2020-07-12 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1144852138 | Sebastian Quinones | Clinic/Center | Urb Caparra Hills, E-6 Calle Eucalipto, Guaynabo, PR 00968 | 2020-02-07 |
| 1174161160 | Pm Health Corp | Clinic/Center | Urb. Villa Universitaria Calle 26a Ba 10, Humacao, PR 00971 | 2019-12-20 |
| 1710524855 | Empresas Jkp LLC | Clinic/Center | Hospital Doctors Center Torre Medica II Carr 2 Km 47.8, Suite 151 B, Manati, PR 00674 | 2019-12-09 |
| 1881231546 | Le Petit Vision Center LLC | Clinic/Center | Consolidated Mall C-22, Ave Gautier Benitez 202, Caguas, PR 00725-9998 | 2019-12-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NOVA INFUSION & COMPOUNDING PHARMACY.
| 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.