GRUPO MEDICO SAN PABLO INC (NPI# 1700851268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700851268 |
| Entity Type | Organization |
| Organization Name | GRUPO MEDICO SAN PABLO INC |
| Practice Address |
B7 Calle Santa Cruz Bayamon PR 00961-6902 |
| Practice Telephone | 7877809196 |
| Practice Fax Number | 7876256124 |
| Mailing Telephone | 7877809196 |
| Mailing Fax Number | 7876256124 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | DR. ILIA E ZAYAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7877809196 |
| Authorized Official Credential | MD, MPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 30562 | PR | Allopathic & Osteopathic Physicians |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
B7 CALLE SANTA CRUZ |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-6902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770058398 | Sana Accountable Care Organization of Puerto Rico Inc | Clinic/Center | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2018-10-10 |
| 1588028039 | Cdt Gmsp, Inc | Clinic/Center | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2016-04-11 |
| 1033587928 | Maria Alamo | Health Educator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-09-09 |
| 1811364482 | Anizeida Laboy | Nutritionist | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-30 |
| 1205202249 | Wanda Torres | Case Manager/Care Coordinator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1447626486 | Angelica Leon | Case Manager/Care Coordinator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1144696105 | Wanda Martinez | Licensed Practical Nurse | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1740656792 | Jeannette Rivera | Licensed Practical Nurse | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-08-13 |
| 1023400587 | Diannette Maldonado | Case Manager/Care Coordinator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-02-20 |
| 1821487042 | Migdaliz Santos Catala | Case Manager/Care Coordinator | B7 Calle Santa Cruz, Bayamon, PR 00961-6902 | 2015-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043710924 | Terapias Y Algo Mas, Inc. | Clinic/Center | 27 Calle 5 B 6, Santa Rosa, Bayamon, PR 00959 | 2018-02-16 |
| 1477087179 | Emilia Feliciano | Clinic/Center | B21 Calle Bilbao, Reparto Alhambra, Bayamon, PR 00957-2330 | 2017-04-19 |
| 1801345632 | Angel Therapy Center | Clinic/Center | L-41 Ave Laurel, Santa Juanita, Bayamon, PR 00956 | 2016-09-21 |
| 1881043206 | Centro De Vacunacion Cesmi | Clinic/Center | 8 Calle Santa Cruz, Bayamon, PR 00961-6906 | 2016-06-07 |
| 1174902571 | Nelissa J Santiago | Clinic/Center | 725 West Main Ave, Bayamon, PR 00961-4201 | 2015-05-19 |
| 1922418359 | Dr Jaca Montijo Inc | Clinic/Center | 1995 Carr 2 Ste 2903, Bayamon, PR 00959-5062 | 2014-05-07 |
| 1568889137 | Apc Management Corp | Clinic/Center | J-21 Calle 5, Jardines De Caparra, Bayamon, PR 00959 | 2014-03-21 |
| 1558797712 | Progresa En Todo Csp | Clinic/Center | Bayamon Medical Mall Ste 11, Bayamon, PR 00959-7200 | 2013-09-19 |
| 1760724645 | Oficina De Vacunacion Santa Juanita | Clinic/Center | Db35 Calle Damasco, Urb Santa Juanita, Bayamon, PR 00956 | 2013-03-19 |
| 1992055453 | Vacunas Plus, Inc. | Clinic/Center | Bayamon Medical Plaza Suite 308 B, Piso 3 Anexo Hospital Hermanos Melendez, Bayamon, PR 00959 | 2012-09-12 |
| Find all providers in BAYAMON | ||||
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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.