DR. JOHN DERRICK VAN DOREN


Address: 100 Ave Laurel, Bayamon, PR 00956-4816
Phone: 7877875151

DR. JOHN DERRICK VAN DOREN (NPI# 1841844115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841844115
Entity Type Individual
Full Name DR. JOHN DERRICK VAN DOREN
Credential MD
Practice Address 100 Ave Laurel
Bayamon
PR 00956-4816
Mailing Address Po Box 9020035
San Juan
PR 00902-0035
Practice Telephone 7877875151
Mailing Telephone 9513757966
Enumeration Date 2019-07-25
Last Update Date 2019-07-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0401X Internal Medicine
Specialization: Addiction Medicine
G60750 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 100 AVE LAUREL
City BAYAMON
State PR
Zip Code 00956-4816

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407810849 Francisco Gomez Goytia Radiology 100 Ave Laurel, Bayamon, PR 00956-4816 2006-04-13
1043821689 Grecia Marie Santaella Mendez Student in an Organized Health Care Education/Training Program 100 Ave Laurel, Bayamon, PR 00956-4816 2020-08-16
1326659871 Gretchel J Santiago-jhaveri Psychologist 100 Ave Laurel, Bayamon, PR 00956-4816 2020-08-10
1215547013 Marli Carolina Almonte Student in an Organized Health Care Education/Training Program 100 Ave Laurel, Bayamon, PR 00956-4816 2020-08-06
1376153536 Henry Alexander Ruberte Student in an Organized Health Care Education/Training Program 100 Ave Laurel, Bayamon, PR 00956-4816 2020-08-03
1134746944 Waldo Jesus Santiago Colberg Student in an Organized Health Care Education/Training Program 100 Ave Laurel, Bayamon, PR 00956-4816 2020-06-26
1972134344 Fenix Med Radiology 100 Ave Laurel, Bayamon, PR 00956-4816 2020-02-04
1427698208 Puerto Rico Advanced Urology Center, LLC Clinic/Center 100 Ave Laurel, Bayamon, PR 00956-4816 2020-01-09
1720633563 Isis E Silvestrini-bonilla Pathology 100 Ave Laurel, Bayamon, PR 00956-4816 2019-08-08
1295389906 Monica Montes Student in an Organized Health Care Education/Training Program 100 Ave Laurel, Bayamon, PR 00956-4816 2019-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205437514 Julio Alberto Cedeno Alicea Pharmacist Carr. 174 Km. 10.2, Sec. La Morenita Bo. Guaraguao, Bayamon, PR 00956 2020-11-03
1851992275 Patricia Santurio Pharmacist Farmacia Magda C 30, Santa Juanita, Bayamon, PR 00956 2020-11-03
1336754423 Gustavo Jose Morey Cruz Physical Therapist Urb Santa Juanita Calle 30 Uu #43, Bayamon, PR 00956 2020-09-15
1609480961 Great Vision, LLC Optometrist Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 2020-09-03
1861004285 Glorilis Zambrana Sr. Social Worker Carr. 174 Km 15.3 Barrio Guaraguao Arriba, Sector Chorrera, Bayamon, PR 00956 2020-08-18
1568073484 Luz Myriam Bracero Counselor Carr 174 Km 8.3, Bo Guaraguao Abajo, Bayamon, PR 00956 2020-08-13
1316565641 Aa Home Rental Inc Clinical Medical Laboratory Carr 829 Km,6.2, Bayamon, PR 00956 2020-07-13
1750909495 Agustin Vazquez Physician Assistant Carr 167 Km 10.9, Bayamon, PR 00956 2020-07-09
1710509211 Carmen Luz Rosa Santiago Registered Nurse Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 2020-05-07
1649891193 Omar Pantaleon Student in an Organized Health Care Education/Training Program Avenida Laurel, Santa Juanita, Bayamon, PR 00956 2020-05-06
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Taxonomy Information

Taxonomy Code 207RA0401X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Addiction Medicine

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1144698440 Jmo Medical Services Internal Medicine Edificio Arecibo Medical Plaza, Suite 202, Arecibo, PR 00612 2015-09-03
1659468478 Angel A Gonzalez-carrasquillo Internal Medicine 9 Valle Escondido, Guaynabo, PR 00971-8000 2006-10-05

Competitor

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City BAYAMON
Zip Code 00956

Improve Information

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Dataset Information

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.

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