IDENTITY HEALTH GROUP INC (NPI# 1225503568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225503568 |
| Entity Type | Organization |
| Organization Name | IDENTITY HEALTH GROUP INC |
| Practice Address |
47 Calle Munoz Rivera W Rincon PR 00677-2125 |
| Mailing Address |
Po Box 1092 Rincon PR 00677-1092 |
| Practice Telephone | 9396996013 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | DR. LUIS E PRATS (PRESIDENT) |
| Authorized Official Telephone | 9396996013 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
47 CALLE MUNOZ RIVERA W |
| City | RINCON |
| State | PR |
| Zip Code | 00677-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172385 | Lynn Marie Perez Marty | Student in an Organized Health Care Education/Training Program | Cond. Stella Royal #104, Rincon, PR 00677 | 2020-04-10 |
| 1093348773 | Farmacia Rincon | Pharmacy | Calle Munoz Rivera #1 Oeste, Rincon, PR 00677 | 2020-02-20 |
| 1639700487 | Vanessa Giselle Pozzi Lorenzo | Pharmacist | Munoz Rivera #oeste Local A, Rincon, PR 00677 | 2020-01-30 |
| 1952941411 | Emybelle Rodriguez | Pharmacist | Rd 115 Km 11.3, Rincon, PR 00677 | 2020-01-13 |
| 1164974176 | Luis Orraca | Dentist | 35 Munoz Rivera, Rincon, PR 00677 | 2016-10-26 |
| 1144681933 | Department of Health | Clinic/Center | State Road 155 Km 13, Bo Pueblo, Rincon, PR 00677 | 2016-03-08 |
| 1104292374 | Melissa B Torres | Specialist/Technologist | Carr. 115 K.m. 9.3 Int., Barrero, Rincon, PR 00677 | 2015-08-11 |
| 1679967301 | Laboratorio Clinico Cdt De Rincon | Clinical Medical Laboratory | Carr. 115 Km 13.1, Barrio Pueblo, Rincon, PR 00677 | 2015-03-19 |
| 1083008700 | Caribbean Medical Corp. | Clinic/Center | Carretera 115 Km 13.1, Rincon, PR 00677 | 2015-03-19 |
| 1518365584 | Costa Salud Community Health Center, Inc | Clinic/Center | Calle Munoz Rivera #28, Rincon, PR 00677 | 2014-12-08 |
| Find all providers in zip 00677 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790974293 | 26kc Center for Family Medicine | Clinic/Center | 800 Towne Park Dr, Suit 400, Rincon, GA 31326-5156 | 2007-10-20 |
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| 1811525447 | Yauco Optometry Care LLC | Clinic/Center | 28 Santo Domingo Street, Yauco, PR 00698 | 2020-03-30 |
| 1609417039 | Avg Medical Service Csp | Clinic/Center | 107 Bo Mariana, Naguabo, PR 00718 | 2019-10-07 |
| 1477102424 | Servicios Medicos Del Oeste | Clinic/Center | Barrio Malpaso, Carr 417 Km 3.0, Aguada, PR 00602-0060 | 2019-09-11 |
| 1558914853 | Dr Soto Medical Psc | Clinic/Center | Edificio Plaza Quintana, Carr 111 Km 11.5 Bo Capa, Moca, PR 00676 | 2019-07-17 |
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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.