WATERFALL HEALTH SERVICE MANAGEMENT, CORP (NPI# 1578873055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578873055 |
| Entity Type | Organization |
| Organization Name | WATERFALL HEALTH SERVICE MANAGEMENT, CORP |
| Practice Address |
77 Chile Street Urb Floral Park San Juan PR 00922 |
| Mailing Address |
Po Box 10376 San Juan PR 00922 |
| Practice Telephone | 7872491521 |
| Mailing Telephone | 7872491521 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | MS. GLORIA DIAZ (VICE-PRESIDENT) |
| Authorized Official Telephone | 7872491521 |
| Authorized Official Credential | MHSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
77 CHILE STREET URB FLORAL PARK |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407383318 | Hector Teodoro Rondon | Student in an Organized Health Care Education/Training Program | 2116 Monacillo St, University District Hospital Puerto Rico Medical Center, San Juan, PR 00922 | 2017-05-23 |
| 1104373984 | Medical Transportation Services LLC | Taxi | 1503 Ave Rosevelt, Esq Escorial, San Juan, PR 00922 | 2016-09-08 |
| 1174078778 | Walgreen Co | Durable Medical Equipment & Medical Supplies | Carretera Estatal Pr2 Km 101.0, Quebradillas, PR 00922 | 2016-08-24 |
| 1447629209 | Glorimar Agosto | Social Worker | 342 San Luis, Edif. Newport Iv, San Juan, PR 00922 | 2015-09-22 |
| 1588041263 | Manuel Alexis Rodriguez Perez | Orthopaedic Surgery | Udh Puerto Rico Medical Center, Bo Monacillos, San Juan, PR 00922 | 2015-05-01 |
| 1669868337 | Nesyali Rolon | Specialist/Technologist | 826 Avenida San Patricio Local 1, Urbanizacion Las Lomas, San Juan, PR 00922 | 2015-04-09 |
| 1356737316 | Elaine Marie Rodriguez | Specialist/Technologist | 824 Avenida San Patricio, Local 1 Urbanizacion Las Lomas, San Juan, PR 00922 | 2015-04-07 |
| 1821490053 | Joraida Nieves | Speech-Language Pathologist | Crr19 Km 0.6, Bo Monacillo, San Juan, PR 00922 | 2014-09-18 |
| 1306247812 | Mario Augusto Corona | Student in an Organized Health Care Education/Training Program | University District Hospital, Puerto Rico Medicalcenter, B.o. Monacillos, San Juan, PR 00922 | 2014-09-16 |
| 1609200575 | Thais Bermudez | Chiropractor | 490 Calle Sirio Esquina Perseo, San Juan, PR 00922 | 2013-08-28 |
| Find all providers in zip 00922 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473620 | Maria Isabel De Jesus | General Practice | 881 Calle Manuel Guerra, San Juan, PR 00924-2533 | 2020-09-24 |
| 1427664762 | Carlos Ruben Alomar Lopez | General Practice | 200 Calle Cupey Gdns Ste 11w, San Juan, PR 00926-7366 | 2020-09-22 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1861010191 | Monica Molina-serrano | General Practice | 342 Calle San Luis, San Juan, PR 00920-1623 | 2020-07-13 |
| 1295353910 | Vmedical Group Psc | General Practice | Calle 10 So #1534, Caparra Terrace, San Juan, PR 00921 | 2020-07-09 |
| 1851918338 | Jenniffer Ramirez Gomez | General Practice | 138 Ave Winston Churchill Pmb 922, San Juan, PR 00926-6013 | 2020-06-30 |
| 1447877949 | Paola Katsi Vissepo Martinez | General Practice | Carr 22 Barrio Monacillos Hospital Oncologico, San Juan, PR 00935-0001 | 2020-06-30 |
| 1598385049 | Mediexpreso LLC | General Practice | Villa Hucar C6 Calle Almendro, San Juan, PR 00920 | 2020-04-24 |
| 1316571912 | Charitin De Pena Gomez | General Practice | L11 Calle Ronda, San Juan, PR 00926-2309 | 2020-02-24 |
| 1093347692 | Elite Medical Clinic of Pr LLC | General Practice | 400 Ave Domenech Ste 412, Las Americas Professional Center, San Juan, PR 00918-3748 | 2020-02-11 |
| Find all providers in SAN JUAN | ||||
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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.