GRUPO MEDICO CAROLINA, LLC (NPI# 1871883165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871883165 |
Entity Type | Organization |
Organization Name | GRUPO MEDICO CAROLINA, LLC |
Other Organization Name | SERVICIOS SALUD MENTAL CAROLINA, INC. |
Practice Address |
Villa Carolina 35-21 Calle 16 Carolina PR 00985-5440 |
Mailing Address |
Plaza Carolina St P O Box 9067 Carolina PR 00988-9067 |
Practice Telephone | 7877521979 |
Practice Fax Number | 7872766299 |
Mailing Telephone | 7877521979 |
Mailing Fax Number | 7872766299 |
Enumeration Date | 2011-04-08 |
Last Update Date | 2014-09-29 |
Authorized Official Name | MR. DIOGENES ORESTES ADAMES ROA (PRESIDENT) |
Authorized Official Telephone | 7877521979 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 283Q00000X | Psychiatric Hospital | HPSM-0540 | PR | Hospitals |
Other Name | Type Code |
---|---|
Servicios Salud Mental Carolina, Inc. | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093105256 | Grupo Medico Carolina, LLC | General Practice | 35-21 Calle 16, Villa Carolina, Carolina, PR 00985-5440 | 2015-01-27 |
Street Address |
VILLA CAROLINA 35-21 CALLE 16 |
City | CAROLINA |
State | PR |
Zip Code | 00985-5440 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598860785 | Gilberto Vazquez Romero | Internal Medicine | Villa Carolina, Calle 11 Blq. 33 #8, Carolina, PR 00985-5436 | 2006-09-13 |
1902443070 | Javier Medina Mendez | Social Worker | Villa Carolina, 6-22 Calle 30, Carolina, PR 00985 | 2019-12-07 |
1316590631 | Lucas R Figueroa | Naturopath | Villa Carolina, 9-117a 73b St, Carolina, PR 00985-0098 | 2019-07-17 |
1265933352 | Ingris Maldonado | Counselor | Villa Carolina, 435, Carolina, PR 00984 | 2018-02-23 |
1043726490 | Vacunas Plus De Carolina | Clinic/Center | Villa Carolina, 7-27 Ave Roberto Clemente, Carolina, PR 00985 | 2017-12-21 |
1851696199 | Maria Cristina Rivera Cruz | Clinic/Center | Villa Carolina, Ave Roberto Clemente Blk 27-16, Carolina, PR 00985 | 2011-01-18 |
1215265202 | Ada I Colon-gavillan | Clinic/Center | Villa Carolina, 104-17 104street, Carolina, PR 00985 | 2009-12-02 |
1396078721 | Maria Soto Santiago | Technician/Technologist | Villa Carolina, C/102 Blq105 # 29, Carolina, PR 00985 | 2009-09-17 |
1982775920 | Luis A Capo | Dentist | Villa Carolina, 139-12 Calle 401, Carolina, PR 00985 | 2006-11-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194363705 | Margarita Ortiz | Pharmacist | Avenida Monserrate Esquina Main Calderon, Villa Carolina, Carolina, PR 00985 | 2019-12-13 |
1871154906 | Northeastern Medical Network L.L.C. | Family Medicine | 124-8 Ave Roberto Clemente, Carolina, PR 00985 | 2019-06-28 |
1871150904 | Ljr Medical LLC | Family Medicine | 3fs5 Ave Fragoso, Urb Villa Fontana, Carolina, PR 00985 | 2019-05-23 |
1720644289 | Health Laboratories Services, Inc. | Clinical Medical Laboratory | Carolina Shopping Court Local 302, Bo Martin Gonzalez, Carolina, PR 00985 | 2019-05-10 |
1346707171 | Edsel I Rivera | Nurse Practitioner | Century Business Park, 23 Carr 848, Carolina, PR 00985 | 2019-02-28 |
1699230847 | Carmen Milagros Vazquez Sr. | Social Worker | 23 Carolina Century Business Center Carr 848, Carolina, PR 00985 | 2019-02-01 |
1972067247 | Minorka Gizzette Figueroa-davila | Student in an Organized Health Care Education/Training Program | Calle 4 B-27 Estancias De San, Fernando, Carolina, PR 00985 | 2019-01-30 |
1962966119 | Vacunacion Al Dia Ninos Y Adultos | Clinic/Center | 22-2 Calle 18, Urb Villa Carolina, Carolina, PR 00985 | 2019-01-22 |
1992289631 | Marilyn Figueroa Chinea | Pharmacist | Carr Pr 3 Km 9.5 Ave 65 Infanteria, Carolina, PR 00985 | 2018-09-19 |
1336623214 | Vanessa Jimenez | Pharmacist | 65 Infanteria Ave Carr 3 Km 9.5, Reparto Industrial San Gabriel, Carolina, PR 00985 | 2018-09-18 |
Find all providers in zip 00985 |
Taxonomy Code | 283Q00000X |
Grouping | Hospitals |
Classification | Psychiatric Hospital |
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144605619 | Ana L Arreaga Roa | Psychiatric Hospital | Rh18 Rio Cristal, Trujillo Alto, PR 00976-6009 | 2015-07-27 |
1740615475 | Northwest Health Solutions | Psychiatric Hospital | Road 2 Victoria Ave, Aguadilla, PR 00604 | 2013-09-12 |
1396022349 | First Hospital Panamericano, Inc. | Psychiatric Hospital | State Road 787, Km 1.5, Cidra, PR 00739 | 2011-11-04 |
1649560111 | Correctional Health Services Corporation | Psychiatric Hospital | Calle 1 Lote 18, Suite 400 Metro Office Park, Guaynabo, PR 00968-1768 | 2011-04-18 |
1124323431 | Instituto De Estabilizacion Emocional Del San Juan Bautista, Inc. | Psychiatric Hospital | Urb Turabo Gardens, Carr 172 Salida 21, Caguas, PR 00725 | 2011-01-18 |
1295048072 | Amarilis Diaz | Psychiatric Hospital | Hc 23 Box 6273, Juncos, PR 00777-9711 | 2010-07-21 |
1033422803 | Sabina Rosario | Psychiatric Hospital | Hc 30 Box 33602, San Lorenzo, PR 00754-9737 | 2010-07-21 |
1093942617 | Mennonite General Hospital Inc | Psychiatric Hospital | Carretera Estatal 14 Interior, Calle Sargento Gerardo Santiago, Aibonito, PR 00705-1379 | 2009-06-22 |
1285809426 | Inspira Behavioral Care Corp | Psychiatric Hospital | Calle Guadalupe Num 184, Ponce, PR 00733 | 2008-04-29 |
1700076304 | First Hospital Panamericano | Psychiatric Hospital | Carr. #2 Km 46.1 Bo. Campo Alegre, Manati, PR 00674 | 2007-07-30 |
Find all providers with the same taxonomy |
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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.