GRUPO CLINICO SAN JUDAS TADEO, P.S.C. (NPI# 1548660525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548660525 |
| Entity Type | Organization |
| Organization Name | GRUPO CLINICO SAN JUDAS TADEO, P.S.C. |
| Practice Address |
Torre San Vicente De Paul Suite 303 San German PR 00683 |
| Mailing Address |
187 Calle Serenidad Urb. Paraiso De Mayaguez Mayaguez PR 00680 |
| Practice Telephone | 7872649111 |
| Practice Fax Number | 8882418086 |
| Mailing Telephone | 7872649111 |
| Mailing Fax Number | 8882418086 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | MR. JACOBO E QUINONES (DOCTOR/DIRECTOR) |
| Authorized Official Telephone | 7872649111 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 13577 | PR | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
TORRE SAN VICENTE DE PAUL SUITE 303 |
| City | SAN GERMAN |
| State | PR |
| Zip Code | 00683 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029286 | Paula M Rivera Millan | General Practice | Urb. Mansiones Calle 4 E 4, San German, PR 00683 | 2020-10-01 |
| 1164031993 | Yaralyz Serrano Ayala | Social Worker | Carr 361 Km 6.9, San German, PR 00683 | 2020-07-28 |
| 1528676830 | Solimar Acevedo Soto | Internal Medicine | Hospital De La Concepcion Carr #2 Km 173.4, San German, PR 00683 | 2020-07-22 |
| 1922624758 | Victor Adriel Otero | General Practice | Carr. #2 Km 173.4, Bo. Cain Bajo, San German, PR 00683 | 2020-06-17 |
| 1669092508 | Tu Optica Dr. Reinaldo Manolo Vazquez | Eyewear Supplier (Equipment, not the service) | Ave. Universidad Interamericana 183 Centro Comercial, Local 106, Sangerman, PR 00683 | 2020-04-21 |
| 1801429642 | Hospital De La Concepcion Inc | Skilled Nursing Facility | Road #2 Km. 173.4, Bo Cain Alto, San German, PR 00683 | 2020-02-20 |
| 1275171449 | Andrea Marie Pagan | Nurse Anesthetist, Certified Registered | #8 Calle Luz Celenia Tirado, San German, PR 00683 | 2019-12-18 |
| 1093358723 | Julio Cesar Campis Candelario | General Practice | Las Quintas Calle Noruega B7, San German, PR 00683 | 2019-10-25 |
| 1295385508 | Vacunas Del Sur Incorporado | Clinic/Center | Ave Universidad Interamericana 187 Suite 109, San German, PR 00683 | 2019-09-18 |
| 1124678057 | Light Up Chiropractic Clinic | Chiropractor | Bo. Minillas Carretera Pr-102 Km 38.1, Local 2, San German, PR 00683 | 2019-09-12 |
| Find all providers in zip 00683 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676830 | Solimar Acevedo Soto | Internal Medicine | Hospital De La Concepcion Carr #2 Km 173.4, San German, PR 00683 | 2020-07-22 |
| 1912555699 | Arisha Crespo Figueroa | Internal Medicine | Hospital De La Concepcion Carr 2 Km 173, San German, PR 00683 | 2019-08-27 |
| 1568933117 | Puerto Rico Mind and Body Health Csp | Internal Medicine | 187 Ave Los Atleticos, Edif Rali 104, San German, PR 00683 | 2018-12-07 |
| 1326523119 | Servicios Medicos De Puerto Rico Inc | Internal Medicine | Ave. Interamericana #153 Calle Chillin Quinones, Edif San Jose #3, San German, PR 00683 | 2018-09-27 |
| 1912485541 | Joann Alexandra Vidal Rodriguez I | Internal Medicine | Carretera 2 Km 173.4, San German, PR 00683-0285 | 2018-08-06 |
| 1306324728 | Francisco Steven Rodriguez Gomez | Internal Medicine | Cain Alto, Carr 2 Km 173, San German, PR 00683 | 2018-07-30 |
| 1154828937 | Dionisio Luis Acosta Martinez | Internal Medicine | 9340 Camino Rafuchi, San German, PR 00683-9056 | 2018-04-09 |
| 1265975742 | Abdiel Ramos Mercado | Internal Medicine | 5 Calle Sol, San German, PR 00683-3950 | 2016-12-01 |
| 1174900526 | Luis Angel Padilla Santiago | Internal Medicine | Carretera # 2 Km 173.4, Bo Cain Alto, San German, PR 00683 | 2015-05-05 |
| 1407233588 | Juan Francisco Cruz | Internal Medicine | Calle 2 Km 173.4 Cain Alto, Hospital Da La Concepcion, San German, PR 00683 | 2015-04-28 |
| Find all providers in SAN GERMAN | ||||
| City | SAN GERMAN |
| Zip Code | 00683 |
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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.