FAMILY MEDICINE CENTER LLC (NPI# 1407265911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407265911 |
Entity Type | Organization |
Organization Name | FAMILY MEDICINE CENTER LLC |
Other Organization Name | FAMILY MEDICINE CENTER |
Practice Address |
Carretera 3 Km. 151.4 Comunidad Coqui, Bo. Aguirre Salinas PR 00704-0398 |
Mailing Address |
Po Box 398 Aguirre PR 00704-0398 |
Practice Telephone | 7878532607 |
Practice Fax Number | 7878530557 |
Mailing Telephone | 7878532607 |
Mailing Fax Number | 7878530557 |
Enumeration Date | 2014-08-08 |
Last Update Date | 2014-08-08 |
Authorized Official Name | DR. GLADYS MYRIAM ALBAN DURAN (SOLE MBR) |
Authorized Official Telephone | 7878532607 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
14,251 | PR | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PR | MEDICARE PTAN | DD740A | 01 |
Other Name | Type Code |
---|---|
FAMILY MEDICINE CENTER | Doing Business As Name - Organization |
Street Address |
CARRETERA 3 KM. 151.4 COMUNIDAD COQUI, BO. AGUIRRE |
City | SALINAS |
State | PR |
Zip Code | 00704-0398 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700128832 | Gwendolyn Young Henson | General Practice | Carretera 3 Km 151.4 Bo. Coqui, Aguirre, PR 00704 | 2013-03-27 |
1629310818 | Teramundi | Local Education Agency (LEA) | Calle 14 # 389 Urbanizacion Paseos Costa Del Sur, Aguirre, Salinas, PR 00704 | 2013-03-26 |
1497914907 | Sistema De Salud Franciscano | Clinic/Center | Carr #3 Km 150.8 Salinas, Aguirre, PR 00704 | 2008-06-09 |
1750548954 | Clinica Dental Aguirre Del Sur | Clinic/Center | Rd #3 Barbosa St #2, Aguirre, PR 00704 | 2008-05-16 |
1497837215 | Medical Commnad Prng | Skilled Nursing Facility | Urb Estancia La Trinitaria Geranio # 896, Aguirre, PR 00704 | 2006-10-20 |
1821197393 | Laboratorio Clinico Pomales | Clinical Medical Laboratory | Street #3 Km 151.5, Aguirre, PR 00704 | 2006-09-21 |
1174546576 | Gladys Myriam Alban | Family Medicine | Carr. # 3 Km. 151.4, Bo. Coqui, Aguirre, PR 00704 | 2006-07-26 |
1326060765 | Jessy Joan Torres | Social Worker | Carr. #3 Km. 150.8 Entrada Urb. Eugene F. Rice, Aguirre, PR 00704 | 2006-07-24 |
1841230554 | Manuel Cubero | Dentist | Carretera #3 Esquina Barbosa #2, Barrio Coqui Aguirre, Salinas, PR 00704 | 2006-06-08 |
1417270679 | Rosa Julia Martinez | Psychologist | Carr. # 3 Km. 151.4, Bo. Coqui, Aguirre, PR 00704 | 2010-03-02 |
Find all providers in zip 00704 |
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] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689844045 | Neville V. Udwadia, M.d., Inc. | Clinic/Center | 224 San Jose St, Suite #2, Salinas, CA 93901-3931 | 2008-03-01 |
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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.