PREMIER SPINE PSC (NPI# 1801902705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801902705 |
| Entity Type | Organization |
| Organization Name | PREMIER SPINE PSC |
| Other Organization Name | PREMIER SPINE |
| Practice Address |
500 Ave. Degetau Hima Plaza I, Suite 703 Caguas PR 00725 |
| Mailing Address |
Po Box 8637 Caguas PR 00726-8637 |
| Practice Telephone | 7877448315 |
| Practice Fax Number | 7877464311 |
| Mailing Telephone | 7877448315 |
| Mailing Fax Number | 7877464311 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2014-05-19 |
| Authorized Official Name | DR. ENRIQUE ESCOBAR-MEDINA (MD) |
| Authorized Official Telephone | 7877448315 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
12070 | PR | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PREMIER SPINE | Doing Business As Name - Organization |
| Street Address |
500 AVE. DEGETAU HIMA PLAZA I, SUITE 703 |
| City | CAGUAS |
| State | PR |
| Zip Code | 00725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366551418 | Steven Justino Rodriguez Monge | Internal Medicine | 500 Ave. Degetau, Suite 511 Hima Plaza 1, Caguas, PR 00725-7309 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264980 | David Edgardo Sanchez-real | Student in an Organized Health Care Education/Training Program | Urb Villa Blanca Cll Jade, Caguas, PR 00725 | 2020-10-27 |
| 1578162368 | Aleidy Mojica | Registered Nurse | Carr 796 Km 7.6 Sect. Bairoa, Bairoa, Caguas, PR 00725 | 2020-10-22 |
| 1912506734 | Nacional Socios, LLC | Eyewear Supplier (Equipment, not the service) | Ave. Rafael Cordero Calle13 M 34, Urb. Condado Moderno, Caguas, PR 00725 | 2020-10-22 |
| 1619583820 | Jose Francisco Rovira IIi | General Practice | Av. Gautier Benitez, Consolidated Mall, Suite C20-a, Caguas, PR 00725 | 2020-09-22 |
| 1467068296 | Alexandra Maria Rincones | Student in an Organized Health Care Education/Training Program | L9 Calle 5 Bonneville Terrace, Caguas, PR 00725 | 2020-09-17 |
| 1316551773 | Luis Alberto Rolon Ortega Sr. | Nurse Anesthetist, Certified Registered | Urb. Turabo Garden 725 Carr. 172, Caguas, PR 00725 | 2020-09-03 |
| 1033729835 | Roberto Jose Torres | Student in an Organized Health Care Education/Training Program | Urb. Turabo Garden Carr. #172, Caguas, PR 00725 | 2020-08-06 |
| 1891305744 | Carolina Huertas Ayala | Student in an Organized Health Care Education/Training Program | Condominio Paseo Degetau, Apt. 2805, Caguas, PR 00725 | 2020-08-05 |
| 1184233306 | Jasseline I Gonzalez | Social Worker | Ave Jose Mercado Esquina Cristobal Colon #121, Caguas, PR 00725 | 2020-07-23 |
| 1932727161 | Nalyan Cardona Vaquez | Nutritionist | Street Aranjuez 641, Urb. La Cima Ciudad Jardin Bairoa, Caguas, PR 00725 | 2020-07-14 |
| Find all providers in zip 00725 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669588562 | Enrique Escobar-medina | Orthopaedic Surgery | Hima Plaza #1, Suite # 703, Caguas, PR 00725 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730515453 | Dr Jose M Massanet Csp | Orthopaedic Surgery | 27 Calle Vereda, Urb Monte Verde Real, San Juan, PR 00926-5984 | 2013-09-26 |
| 1245437441 | Jose M. Massanet-vollrath | Orthopaedic Surgery | Edif Hermanas Davilas Ste B206, Calle J Esquina, Bayamon, PR 00959-5041 | 2007-06-29 |
| 1952448425 | Orthospine Group Psc | Orthopaedic Surgery | 576 Cesar Gonzalez Ave. Doral Bank Center Suite 508, San Juan, PR 00918 | 2007-01-31 |
| 1427088822 | Yamil Cesar Rivera-colon | Orthopaedic Surgery | 1395 San Rafael Apdo 11338, San Juan, PR 00910-3428 | 2006-07-03 |
| 1467488650 | Hector A Vargas-soto | Orthopaedic Surgery | 770 Hostos Ave, Suite 103, Mayaguez, PR 00682 | 2006-06-23 |
| 1982647418 | Fernando Luis Villamil | Orthopaedic Surgery | 35 Ave Luis Munoz Rivera, Caribe Plaza Apartment 1604, San Juan, PR 00901 | 2006-06-13 |
| 1528017548 | Jose M Montanez Huertas | Orthopaedic Surgery | Ave Condado 120, Condominio Pico Center Ste 101, San Juan, PR 00907 | 2006-05-08 |
| 1457962474 | Spine Pr LLC | Orthopaedic Surgery | Edificio Profesional Hospital Menonita De Cayey, Suite 405, Cayey, PR 00736 | 2020-08-13 |
| 1972525301 | Luis Pio Sanchez Caso | Orthopaedic Surgery | 66 Calle Santa Cruz, Suite 309, Instituto San Pablo, Bayamon, PR 00961-7041 | 2006-07-24 |
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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.