ATLANTIS HEALTH CARE GROUP PUERTO RICO INC (NPI# 1568679777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568679777 |
| Entity Type | Organization |
| Organization Name | ATLANTIS HEALTH CARE GROUP PUERTO RICO INC |
| Other Organization Name | RENAL CENTER OF LARES |
| Practice Address |
Carretera 129 Km 25.6 Bo. Piletas Castro Borough Lares PR 00669 |
| Mailing Address |
Po Box 1350 Saint Just Station Saint Just PR 00978-1350 |
| Practice Telephone | 7872927979 |
| Practice Fax Number | 7872927999 |
| Mailing Telephone | 7872927979 |
| Mailing Fax Number | 7872927999 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-09-30 |
| Authorized Official Name | INGRID ACEVEDO (EVP & CFO) |
| Authorized Official Telephone | 7872927979 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
LIC # 18 CNC 07- | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Renal Center of Lares | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922293240 | Atlantis Health Care Group Puerto Rico Inc | Clinic/Center | Carretera #2 Km 113.5, Bo. Guerrero, Isabela, PR 00662-0000 | 2007-09-10 |
| 1184831398 | Atlantis Health Care Group Puerto Rico Inc | Clinic/Center | Guaynabo Medical Mall # 140, Avenida Las Cumbre, Guaynabo, PR 00970 | 2007-05-17 |
| 1104907682 | Atlantis Health Care Group Puerto Rico Inc | Clinic/Center | Calle Aniceto Diaz Interseccion 876, Expreso Trujillo Alto, Trujillo Alto, PR 00978 | 2006-10-18 |
| Street Address |
CARRETERA 129 KM 25.6 BO. PILETAS CASTRO BOROUGH |
| City | LARES |
| State | PR |
| Zip Code | 00669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390252 | Stephanie Quiles Villanueva | Psychologist | Carretera Ramal 111 Km 0.7, Edificio Lares Office Center, Lares, PR 00669 | 2020-06-10 |
| 1861013161 | Caribbean Health Solution | General Practice | Carr 129 Km 25.4, Lares, PR 00669 | 2020-04-28 |
| 1427686641 | Andy Vega | Student in an Organized Health Care Education/Training Program | Pr 124 Km 22 Hm 4 Bo. Espino, Lares, PR 00669 | 2020-04-01 |
| 1699300921 | Luz Miriam Velez Roman | Pharmacist | Carr. 111 Km 2.9, Ave. Los Patriotas, Lares, PR 00669 | 2020-03-06 |
| 1003446741 | Jose A. Romero Carrero | Pharmacist | Carr.129 Int. Carr.111 Km 23.2 Cruce Mijan, Lares, PR 00669 | 2020-01-22 |
| 1053958256 | Rigoberto Gonzalez Perez | Pharmacist | Centro De Salud De Lares Inc. Carr. 111 Km. 1.9, Lares, PR 00669 | 2019-12-06 |
| 1679118509 | Zulma Roman Perez | Registered Nurse | Campo Alegre 77 Calle Los Pinos, Lares, PR 00669 | 2019-11-14 |
| 1720635543 | Daylin Guerrero Caballero | General Practice | Carretera 129, Km 23.4, Sector Arroyo, Barrio Piletas, Lares, PR 00669 | 2019-08-26 |
| 1346801750 | Jose Enrique Sarazu | Psychologist | Ave. Los Patriotas 501, Lares, PR 00669 | 2019-06-26 |
| 1548820160 | Wilson Gabriel Velez-perez | Student in an Organized Health Care Education/Training Program | Car 129 Int 4453 Km 1.8 Piletas Arce, Lares, PR 00669 | 2019-06-17 |
| Find all providers in zip 00669 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023584380 | Bio-medical Applications of Puerto Rico, Inc. | Clinic/Center | 212 Geminis, Brisas Las Marias, Vieques, PR 00765 | 2018-10-15 |
| 1881143295 | Atlantis Health Care Group Puerto Rico, Inc. | Clinic/Center | 9 Calle Albolote, Design Plaza, Guaynabo, PR 00969-0000 | 2016-09-27 |
| 1194273128 | Atlantis Health Care Group Puerto Rico, Inc. | Clinic/Center | Pr 3 Km 134.7, Plaza Guayama, Guayama, PR 00784-0000 | 2016-09-20 |
| 1871041004 | Bio-medical Applications of Puerto Rico, Inc. | Clinic/Center | Carretera 172 Caguas A Cidra Salida 21, Hospital Menonita, Caguas, PR 00725 | 2016-09-16 |
| 1730637042 | Bio-medical Applications of Puerto Rico, Inc. | Clinic/Center | Carr Pr 726 Km 0.7 Interior, (calle Jose C. Vazquez) Barrio Caonillas, Aibonito, PR 00705 | 2016-09-15 |
| 1023566312 | Lavitta Dialysis Center, Inc | Clinic/Center | 471 Ave Munoz Rivera, Ponce, PR 00733-0531 | 2016-09-14 |
| 1669925632 | Bio-medical Applications of Puerto Rico, Inc. | Clinic/Center | Calle 164 Km 69, Naranjito, PR 00719 | 2016-07-26 |
| 1366821290 | Centro De Dialisis | Clinic/Center | Carretera 172 Caguas A Cidra, Salida 21, Caguas, PR 00725 | 2015-05-26 |
| 1619361342 | Bio-medical Applications of Puerto Rico, Inc. | Clinic/Center | Carr. 584 Km 0.4, Parque Industrial Amuela, Juana Diaz, PR 00795 | 2015-03-19 |
| 1639562549 | Bio-medical Applications of Puerto Rico, Inc. | Clinic/Center | 200 Plaza Las Piedras Shopping Center Rd, 183 Local Fs-5, Suite 260, Las Piedras, PR 00771 | 2015-03-17 |
| Find all providers with the same taxonomy | ||||
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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.