NORTHEASTERN MEDICAL HEALTH GROUP LLC. (NPI# 1720308877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720308877 |
| Entity Type | Organization |
| Organization Name | NORTHEASTERN MEDICAL HEALTH GROUP LLC. |
| Practice Address |
Ave. General Valero 375 Edificio Esquina Medica Suite 103 Fajardo PR 00738 |
| Mailing Address |
Po Box 1189 Fajardo PR 00738-1189 |
| Practice Telephone | 7875562725 |
| Practice Fax Number | 7879989898 |
| Mailing Telephone | 7875562725 |
| Mailing Fax Number | 7879989898 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |
| Authorized Official Name | DR. VICTOR WILFREDO ROBLES PADRO (PRESIDENT) |
| Authorized Official Telephone | 7875562725 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 16707 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
AVE. GENERAL VALERO 375 EDIFICIO ESQUINA MEDICA SUITE 103 |
| City | FAJARDO |
| State | PR |
| Zip Code | 00738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457979015 | Angerosa Tu Salud Inc | Registered Nurse | 1-101 Paseo Esmeralda Fajardo Calle 21, 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-07-10 |
| 1235756339 | Integrate Community Health System | Clinic/Center | Carr # 3, Km 43.8, Bo. Quebrada Fajardo, Fajardo, PR 00738 | 2020-07-06 |
| 1942826110 | Nancy Queren Velazquez I | Registered Nurse | 1-101 Paseo Esmeralda Calle 21, Fajardo, PR 00738 | 2020-06-23 |
| 1518580943 | My Optical Factory LLC | Optometrist | #61 Calle Garrido Morales W, Fajardo, PR 00738 | 2020-05-20 |
| 1992335830 | Jm Albulance | Ambulance | 157 Calle Celis Aguilera, Fajardo, PR 00738 | 2020-01-20 |
| 1376180885 | Wilma Enid Figueroa | Social Worker | Calle F # 86, Monte Mar, Fajardo, PR 00738 | 2019-12-03 |
| 1144879768 | Danny Josue Mendez Gomez | Chiropractor | Centro Quiropractico De Puerto Rico, Fajardo Market Square, Carr 3 Km 45.4, Fajardo, PR 00738 | 2019-09-06 |
| 1316595804 | Ceiba Medical Services Inc | Family Medicine | 195 Ave Lauro Inero, Ceiba, PR 00738 | 2019-08-28 |
| 1841847142 | Ecb Humacao LLC | Optometrist | Centro Comercial Plaza Fajardo Local 125 Carr 3 Km 43.3, Barrio Quebrada Abajo, Fajardo, PR 00738 | 2019-08-21 |
| 1134785017 | Genesis Medical Supply and Medical Equipment | Durable Medical Equipment & Medical Supplies | G10 Avenida Principal Suite 2, Urb Baralt, Fajardo, PR 00738 | 2019-05-15 |
| Find all providers in zip 00738 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581931 | Hildeberto Blasco | General Practice | Ave Principal Baralt # F4, Fajardo, PR 00738 | 2019-01-03 |
| 1881137412 | Amalia Marie Bonano | General Practice | 5-l12 Calle 5, Monte Brisas 5, Fajardo, PR 00738-0864 | 2016-11-30 |
| 1801297445 | Emmanuel Rivera | General Practice | Ave General Valero Km 2.6, Fajardo, PR 00738 | 2014-09-15 |
| 1659672186 | Carlos M Zaccheus Soto | General Practice | 316 Calle Yagrumo, Fajardo Gardens, Fajardo, PR 00738-2967 | 2010-11-15 |
| 1548596745 | Ladys N Hernandez Rivera | General Practice | 200 Ave Marina Vw, Apt 2002, Fajardo, PR 00738-4216 | 2009-10-22 |
| 1396976015 | Carlos Manuel Gonzalez Pagan | General Practice | Ave General Valero # 375, Esquina Medica Suite 103, Fajardo, PR 00738-3949 | 2009-07-29 |
| 1851555031 | Yessi Caraballo | General Practice | Ave B-228, Urb Santa Isidra, Fajardo, PR 00738-0000 | 2008-07-16 |
| 1619138344 | Efren Rivera Santiago | General Practice | F4 Ave Principal, Urb Baralt, Fajardo, PR 00738 | 2008-06-25 |
| 1245491513 | Omar Mohamed Al-kahlout | General Practice | 233 Calle Laurel, Fajardo, PR 00738-2962 | 2008-06-19 |
| 1538329164 | Rosamar Caraballo Lopez | General Practice | 228 Ave B, Santa Isidra, Fajardo, PR 00738-4987 | 2008-06-17 |
| Find all providers in FAJARDO | ||||
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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.