CENTRO MEDICO SAN JOSE CSP (NPI# 1356325930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356325930 |
| Entity Type | Organization |
| Organization Name | CENTRO MEDICO SAN JOSE CSP |
| Other Organization Name | CLINICA SAN JOSE |
| Practice Address |
Calle Marginal Urb Santa Cruz Bayamon PR 00957-2536 |
| Mailing Address |
C/a Ihambrd 4 #8 Urb Torrimar Guaynabo PR 00966 |
| Practice Telephone | 7877855592 |
| Practice Fax Number | 7877855593 |
| Mailing Telephone | 7877855592 |
| Mailing Fax Number | 7877855593 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOSE S IGUINA (PRESIDENT) |
| Authorized Official Telephone | 7877855592 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 10574 | PR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clinica San Jose | Former Legal Business Name - Organization |
| Street Address |
CALLE MARGINAL URB SANTA CRUZ |
| City | BAYAMON |
| State | PR |
| Zip Code | 00957-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619377660 | Asistencia Dorada Health Care | Clinic/Center | Calle Marginal, E-7 Santa Rosa, Bayamon, PR 00957-2536 | 2014-08-27 |
| 1003244054 | Atrium Medical Group | Clinic/Center | Calle Marginal, E7, Bayamon, PR 00957-2536 | 2013-10-29 |
| 1104254150 | Island Medical Group | Clinic/Center | Calle Marginal, E7, Bayamon, PR 00957-2536 | 2013-10-29 |
| 1770731259 | Sonrisas Hermosas, Csp | Exclusive Provider Organization | Calle Marginal, Road 1 Km. 16.1, Bayamon, PR 00957-2536 | 2008-09-08 |
| 1659331692 | Jose Guillermo Amy | Physical Medicine & Rehabilitation | Calle Marginal, E 1, Bayamon, PR 00957-2536 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1265063572 | Emilisse Francheska Ramos | Nutritionist | Urb. Los Dominicos, Calle San Agustin B43, Bayamon, PR 00957 | 2020-01-27 |
| 1659911188 | Vionette Pereira Torres | Optometrist | 500 Ave John Will Harris, Bayamon, PR 00957 | 2020-01-13 |
| 1073154860 | Rodriguez Carrer Md | General Practice | Urb Royal Gardens, Calle Esther Lote E-4, Bayamon, PR 00957 | 2019-10-02 |
| 1366093387 | Juana Rivera | Technician | Urb San Souci, G2 Calle 10, Bayamon, PR 00957 | 2019-09-20 |
| 1659921591 | Melissa Erazo | Technician/Technologist | Carr. 167 Urb. Riverview, Calle#36 Za-19, Bayamon, PR 00957 | 2019-09-12 |
| 1396391280 | Alivia Home Delivery, LLC | Pharmacy | 2 Ave Teniente Nelson Martinez, Urb Lomas Verdes, Bayamon, PR 00957 | 2019-08-15 |
| 1316405061 | Alexandra Rosado Betancourt | General Practice | G11 Calle Jerry Rivas Diaz, Urb Sta Monica, Bayamon, PR 00957 | 2019-03-12 |
| 1649734419 | Jesus Rene Rivera Rosa | Student in an Organized Health Care Education/Training Program | Calle 7 O-7 Urb Santa Monica, Bayamon, PR 00957 | 2019-01-25 |
| 1588136923 | Td Medical Services LLC | Durable Medical Equipment & Medical Supplies | B9 Sierra Linda Carr 681, Bayamon, PR 00957 | 2018-12-26 |
| Find all providers in zip 00957 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747983 | Genalex Health Solutions LLC | Pediatrics | Urb Bayamon Gardens Avenida Castiglioni S4, Bayamon, PR 00956-0095 | 2020-07-08 |
| 1871159533 | Karen Nereida Marti Martinez | Pediatrics | Pr 2 Km 11.7 Sector Pajaros, Bayamon, PR 00959 | 2019-05-17 |
| 1619456407 | Alicia Olave-pichon | Pediatrics | Carr 2 Km 11.0, Bayamon, PR 00959 | 2018-08-13 |
| 1861913501 | Carlos Silva | Pediatrics | Carretera 2, Puerto Rico Childrens Hospital, Bayamon, PR 00960 | 2017-07-03 |
| 1730598368 | Karla M Rosario | Pediatrics | Marginal Santa Cruz C17 Urb. Santa Cruz, Bayamon, PR 00961 | 2014-08-07 |
| 1508116120 | Mayela M Diaz Diaz | Pediatrics | Bayamon Medical Plaza Carr 2, Ofc 910, Bayamon, PR 00959 | 2012-09-11 |
| 1861751554 | Dr Hector D Nieves Vazquez Psc | Pediatrics | Panorama Village, Vista Del Mar 198, Bayamon, PR 00957 | 2012-05-15 |
| 1235445842 | Liza Carolina Sanchez-plazas | Pediatrics | Ff28 Calle Tudor, Bayamon, PR 00956-2734 | 2010-08-20 |
| 1811177157 | Mc Medical Institute,psc | Pediatrics | Torre San Pablo Ste 605, Calle Santa Cruz, Bayamon, PR 00961-7031 | 2007-11-04 |
| 1477742336 | Universidad Central Del Caribe | Pediatrics | Avenida Laurel Esquina Ste Juanita #100, Bayamon, PR 00960 | 2007-10-17 |
| 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.