POLICLINICA FAMILIAR SHALOM INC (NPI# 1831302173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831302173 |
| Entity Type | Organization |
| Organization Name | POLICLINICA FAMILIAR SHALOM INC |
| Practice Address |
Bo Terranova Calle Marginal Del Parque Quebradillas PR 00678 |
| Mailing Address |
Po Box 903 Quebradillas PR 00678-0903 |
| Practice Telephone | 7878950914 |
| Mailing Telephone | 7878950914 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2017-07-06 |
| Authorized Official Name | MR. IVAN FELICIANO (SUPERVISOR) |
| Authorized Official Telephone | 7872910991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 11789 | PR | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
145 | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427579168 | Policlinica Familiar Shalom Inc | Emergency Medicine | Carr 2 Km 101.6 Calle Marginal Del Parque, Bo Terranova, Quebradillas, PR 00678 | 2017-07-03 |
| 1992233522 | Policlinica Familiar Shalom Inc | Preventive Medicine | Carr #2 Km 101.6, Barrio Terranova Calle Harginal Del Parque Quebradillas, Quebradillas, PR 00678 | 2017-05-26 |
| 1619580321 | Policlinica Familiar Shalom Inc | Preventive Medicine | 25 Calle Mendez Vigo W, Mayaguez, PR 00680-6756 | 2020-08-24 |
| Street Address |
BO TERRANOVA CALLE MARGINAL DEL PARQUE |
| City | QUEBRADILLAS |
| State | PR |
| Zip Code | 00678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578178976 | Zadeth Y Orama Vega | Psychologist | 42831 Carr. #482, Quebradillas, PR 00678 | 2020-09-11 |
| 1083228001 | Emanuel Jose Serrano Estremera | General Practice | Calle Teique Linares #92, Quebradillas, PR 00678 | 2020-09-08 |
| 1073130969 | Roxienid Alvarez Mercado | Pharmacist | #116 Calle Rafols Esq. Del Carmen, Quebradillas, PR 00678 | 2020-06-26 |
| 1982221818 | Laboratorio Clinico Zarza Inc | Technician/Technologist | Bo Puente Zarza Carr 2 Km 90 Interior, Camuy, PR 00678 | 2020-06-26 |
| 1972126647 | Ingrid Janice Perez | Social Worker | Calle Rafols Esq. Del Carmen #116, Quebradillas, PR 00678 | 2020-05-28 |
| 1831710664 | Tania Jenid Saavedra | Pharmacy | 42868 Carr. 482, Quebradillas, PR 00678 | 2020-05-04 |
| 1710526272 | Josue Francisco Cordero Santiago | Pharmacist | Farmacia Gloriana Carr. #2 Km 96.8 Barrio Cocos, Quebradillas, PR 00678 | 2020-01-02 |
| 1366099707 | Zoljenice De Juan Mercado | Specialist/Technologist | Carr 478 Km 2.1 Bo San Antonio, Quebradillas, PR 00678 | 2019-08-21 |
| 1992359707 | Clinica De Salud Primaria Dr. Serrano Corporation | General Practice | 92 Calle Linares, Quebradillas, PR 00678 | 2019-07-30 |
| 1366001356 | Maria Elena Roman | Occupational Therapist | Carretera 4482 Km 0.2 Terranova, Quebradillas, PR 00678 | 2019-06-12 |
| Find all providers in zip 00678 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427579168 | Policlinica Familiar Shalom Inc | Emergency Medicine | Carr 2 Km 101.6 Calle Marginal Del Parque, Bo Terranova, Quebradillas, PR 00678 | 2017-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375644 | Health Preventive and Emergency Services Psc | Emergency Medicine | Ofic 105 207 Calle Manuel Domenech, San Juan, PR 00918-0091 | 2020-08-04 |
| 1598398943 | Emergency Medical Consultants Group - Emcg Inc | Emergency Medicine | 159 Calle Quinto Centenario, Luquillo, PR 00773-2319 | 2020-02-13 |
| 1467016287 | Heart Ems | Emergency Medicine | 1608 Calle Bori St 202, Edificio La Electronica, San Juan, PR 00926-0092 | 2019-04-26 |
| 1598228074 | Moises E Velazquez | Emergency Medicine | 288 Calle 4, Trujillo Alto, PR 00976-2919 | 2019-04-10 |
| 1285140616 | Premier Health Care LLC | Emergency Medicine | 272 Calle 1, Puerto Nuevo Ne, San Juan, PR 00920 | 2017-12-21 |
| 1497274286 | Capitol Clinical Comprehensive LLC | Emergency Medicine | 703 Calle Victor Lopez, San Juan, PR 00909-2843 | 2017-09-13 |
| 1326595752 | Javier Ivan Pacheco | Emergency Medicine | E35 Calle 2, Urb Los Rosales, Humacao, PR 00791-3105 | 2016-09-01 |
| 1730528274 | Jfj Medical LLC | Emergency Medicine | 10 Villa Angela, 6, Arecibo, PR 00612-9687 | 2013-06-18 |
| 1598057374 | Aguada Medical Center Inc. | Emergency Medicine | Carretera 115, Km 24.5 Barrio Asomante, Aguada, PR 00602 | 2011-05-11 |
| 1770732216 | Arthur Mitchell Tollinchi | Emergency Medicine | Carr 2 Km 63.1, Bo Candelaria, Arecibo, PR 00614-2944 | 2008-09-09 |
| Find all providers with the same taxonomy | ||||
| City | QUEBRADILLAS |
| Zip Code | 00678 |
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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.