IPA POLICLINICA VILLA LOS SANTOS (NPI# 1639393697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639393697 |
| Entity Type | Organization |
| Organization Name | IPA POLICLINICA VILLA LOS SANTOS |
| Other Organization Name | IPA 029 POLICLINICA VILLA LOS SANTOS |
| Practice Address |
V1 Calle 16 Urb. Villa Los Santos Arecibo PR 00612-3112 |
| Mailing Address |
Po Box 9091 Cotto Station Arecibo PR 00613-9091 |
| Practice Telephone | 7878791585 |
| Practice Fax Number | 7878794315 |
| Mailing Telephone | 7878791585 |
| Mailing Fax Number | 7878794315 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MS. MARIA GONZALEZ AGRASO (ADMINISTRADORA) |
| Authorized Official Telephone | 7878173144 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IPA 029 POLICLINICA VILLA LOS SANTOS | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457562084 | Ipa Policlinica Villa Los Santos | Family Medicine | Urb. Villa Los Santos, Calle 16 V-1, Arecibo, PR 00612 | 2007-05-25 |
| 1124231246 | Ipa Policlinica Villa Los Santos | Clinic/Center | Urb. Villa Los Santos, Calle 16 V-1, Arecibo, PR 00612 | 2007-05-07 |
| Street Address |
V1 CALLE 16 URB. VILLA LOS SANTOS |
| City | ARECIBO |
| State | PR |
| Zip Code | 00612-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205810363 | Pedro Baltazar Gonzalez Pantaleon | Obstetrics & Gynecology | V1 Calle 16, Urb. Villa Los Santos, Arecibo, PR 00612-3112 | 2005-12-02 |
| 1285086199 | Servicios De Salud Del Norte | Family Medicine | V1 Calle 16, Villa Los Santos, Arecibo, PR 00612 | 2016-07-05 |
| 1447665062 | Sala De Urgencias Cdt Villa Los Santos | Clinic/Center | V1 Calle 16, Urbanizacion Villa Los Santos, Arecibo, PR 00612-3112 | 2014-06-23 |
| 1891927471 | Centro Radiologico Cdt Villa Los Santos | Clinic/Center | V1 Calle 16, Urb Villa Los Santos, Arecibo, PR 00612-3112 | 2009-08-17 |
| 1477785954 | Centro De Nutricion Villa Los Santos | Nutritionist | V1 Calle 16, Urb Villa Los Santos, Arecibo, PR 00612-3112 | 2009-08-17 |
| 1811104011 | Farmacia Del Centro | Durable Medical Equipment & Medical Supplies | V1 Calle 16, Urb Villa Los Santos, Arecibo, PR 00612-3112 | 2007-05-17 |
| 1013131069 | Vangie Gonzalez | Spec/Tech, Pathology | V1 Calle 16, Urb. Villa Los Santos, Arecibo, PR 00612-3112 | 2007-04-12 |
| 1740404706 | Proviana Ortiz Velazquez | Pediatrics | V1 Calle 16, Urb. Villa Los Santos, Arecibo, PR 00612-3112 | 2007-04-12 |
| 1457575466 | Daniel Quinones | Spec/Tech, Pathology | V1 Calle 16, Urb. Villa Los Santos, Arecibo, PR 00612-3112 | 2007-04-12 |
| 1053535054 | Alexis Velez | Spec/Tech, Pathology | V1 Calle 16, Urb Villa Los Santos, Arecibo, PR 00612-3112 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124929 | Grace Marie Gonzalez | Physician Assistant | Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612 | 2020-11-06 |
| 1043811219 | Patricia Alejandra Alcantara | Psychologist | Arecibo Medical Plaza, 65 Ave Jose Celso Barbosa, Suite 201, Arecibo, PR 00612 | 2020-11-04 |
| 1982203980 | Advanced Gi Solutions LLC | Internal Medicine | Metropolitan Office Building Bo Pueblo Calle Jose De Di, Arecibo, PR 00612 | 2020-10-21 |
| 1922606136 | Isabel R Pogozelski | Registered Nurse | Condominio Terrazul 9, Arecibo, PR 00612 | 2020-10-12 |
| 1003413931 | Luis Jose Nieves Rivera | Physician Assistant | Carr #2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-10-05 |
| 1619583358 | Emanuel Rivera Rivera | Emergency Medical Technician, Basic | Bo. Santana, Arecibo, PR 00612 | 2020-09-18 |
| 1326653874 | Sea Hunt Ambulance Inc | Ambulance | Bo Islote Sec Parcela, Islote 2 C/8 Casa 27, Arecibo, PR 00612 | 2020-09-11 |
| 1053926451 | Los Pinos Medical Center LLC | Dietitian, Registered | Bo Santana Zona Industrial, Carr #2 Km 67.7, Arecibo, PR 00612 | 2020-09-11 |
| 1609481449 | Ipa Policlinica Familiar Factor Doctores Nieves, Csp | Clinic/Center | Carr 2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-09-09 |
| 1598370363 | Azzaro Health Medical LLC | General Practice | Urb. Vista Mar Calle Adriano Gonzalez # 14, Arecibo, PR 00612 | 2020-09-09 |
| Find all providers in zip 00612 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699687 | Carla Antonia Del Valle Rolon | General Practice | Urb. Villas De Altamira Calle C, Casa 3, Arecibo, PR 00614-0061 | 2020-11-06 |
| 1699375428 | David Ramon Soriano-perez | General Practice | Carr. 129 K39 H5 Int, Bo. Hato Arriba, Arecibo, PR 00612-6048 | 2020-10-30 |
| 1699375501 | Christopher Bruce Lemus Deliz | General Practice | Carretera 129, Avenida San Luis, Km. 1.0, Arecibo, PR 00613 | 2020-10-29 |
| 1477168003 | Yamet Rios | General Practice | Carr. 129, Km 1.0 Ave. San Luis, Arecibo, PR 00613 | 2020-09-10 |
| 1598370363 | Azzaro Health Medical LLC | General Practice | Urb. Vista Mar Calle Adriano Gonzalez # 14, Arecibo, PR 00612 | 2020-09-09 |
| 1457985541 | Dimaris Serrano Viruet | General Practice | Bo. Carreras 1, Carr 123, Sector Jaguar, Arecibo, PR 00612-9247 | 2020-02-27 |
| 1477186054 | Manuel Alejandro Capella | General Practice | Carretera 129, Km 1.0 Av. San Luis, Arecibo, PR 00613 | 2020-02-21 |
| 1245895887 | Deborah Maria Ball Mora | General Practice | 306 Ave Los Moras, Arecibo, PR 00612-9604 | 2019-05-09 |
| 1972168680 | Ruben A Gonzalez Toledo | General Practice | 120 Calle Un, Arecibo, PR 00612-4342 | 2019-05-08 |
| 1780151985 | Eneida Narvaez | General Practice | 510 Ave San Luis, Arecibo, PR 00612-3641 | 2018-10-26 |
| Find all providers in ARECIBO | ||||
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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.