GRUPO MEDICO DEL NORTE INC. (NPI# 1730550393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730550393 |
| Entity Type | Organization |
| Organization Name | GRUPO MEDICO DEL NORTE INC. |
| Other Organization Name | MIRAMAR MEDICAL CLINIC |
| Practice Address |
804 Ave Ponce De Leon Suite 101a San Juan PR 00907-3301 |
| Practice Telephone | 7877215696 |
| Mailing Telephone | 7877215696 |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2015-10-08 |
| Authorized Official Name | DR. IVAN CEREZO (PRESIDENT) |
| Authorized Official Telephone | 7877215696 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 352173 | PR | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MIRAMAR MEDICAL CLINIC | Doing Business As Name - Organization |
| Street Address |
804 AVE PONCE DE LEON SUITE 101A |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00907-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338574 | Pop Health, LLC | Chiropractor | Cond Casa Del Valle, Comercial B, 1450 Ave Ashford, San Juan, PR 00907 | 2020-08-26 |
| 1760091086 | Patrick Anthony Maher | Student in an Organized Health Care Education/Training Program | 1451 Ave Dr. Ashford, San Juan, PR 00907 | 2020-07-23 |
| 1922621283 | Mariana Silva | Clinic/Center | 29 Washigton St Ofice 409, Ashford Medical Center, San Juan, PR 00907 | 2020-05-21 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1376182519 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Vig Tower, Piso 1, 1225 Ave Ponce De Leon, San Juan, PR 00907 | 2020-01-06 |
| 1154979235 | Teresa Pilar Del Rio | Student in an Organized Health Care Education/Training Program | Calle Villamil 303, Apt 1506, San Juan, PR 00907 | 2019-08-31 |
| 1457906208 | Jose A Pineiro Salgado | Audiologist | San Juan Health Center Bldg, 150 Ave De Diego, San Juan, PR 00907 | 2019-08-08 |
| 1649825456 | Melba I Rivera | Social Worker | Hospital De Psiquiatria Estatal Dr Ramon Fernandez Mari, Calle Maga Bo Monacillos, San Juan, PR 00907 | 2019-08-08 |
| 1346894060 | Hazel Faunde | Social Worker | 605 Calle Condado, Edif San Alberto Suite 611, Santurce, PR 00907 | 2019-07-31 |
| 1134789407 | Alexandra Medina Calderon | Social Worker | Edificio Plaza Del Condado, 62-64 Calle Condado, Condado, PR 00907 | 2019-06-18 |
| Find all providers in zip 00907 | ||||
| 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 |
|---|---|---|---|---|
| 1386241537 | Servicios Medicos Dr Alcantara LLC | Clinic/Center | Ave Simon Madera 804 Villa Prades, San Juan, PR 00924 | 2020-10-01 |
| 1801408489 | Vaccines & Vitamins Wellness Center | Clinic/Center | 293 Ave Winston Churchill, San Juan, PR 00926-6604 | 2020-08-17 |
| 1366060766 | Prepven Corp | Clinic/Center | 315 Calle Manuel Domenech Ste 1, San Juan, PR 00918-3513 | 2020-07-12 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1780227504 | Pravan Wellness, LLC | Clinic/Center | 1511 Ave Ponce De Leon Ste 3, San Juan, PR 00909-5001 | 2019-10-24 |
| 1942858428 | Upper Cervical Chiropractic of Puerto Rico | Clinic/Center | 254 Avenida Jesus T. Pinero, Local #3, San Juan, PR 00927 | 2019-08-28 |
| 1669835161 | Centro Ararat | Clinic/Center | 1503 Calle Prof Augusto Rodrigues Bld Asis, Suite 600, San Juan, PR 00919 | 2016-04-01 |
| 1376902759 | Women's Wellness & Antiaging Medical Spa,psc | Clinic/Center | 1565 Alda St, Urb Caribe, San Juan, PR 00926 | 2016-02-15 |
| 1417345612 | Centro Vacunin | Clinic/Center | 161 Calle Cesar Gonzalez Apdo 17, Pavilion Court, San Juan, PR 00917 | 2014-12-23 |
| 1902223837 | Good Life Corp. | Clinic/Center | 656 Calle Hoare, Miaramar, San Juan, PR 00907-3613 | 2014-03-28 |
| 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.