DR. EDGAR H. MORENO RODRIGUEZ CSP (NPI# 1912391780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912391780 |
| Entity Type | Organization |
| Organization Name | DR. EDGAR H. MORENO RODRIGUEZ CSP |
| Practice Address |
M16 Calle 13 Esq Carr 102 Cabo Rojo PR 00623 |
| Mailing Address |
Po Box 365 San German PR 00683-0365 |
| Practice Telephone | 7872556920 |
| Practice Fax Number | 7872556920 |
| Mailing Telephone | 7872556920 |
| Mailing Fax Number | 7872556920 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | DR. EDGAR HJALMAR MORENO (INTERNAL MEDICINE) |
| Authorized Official Telephone | 7872556920 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
12469 | PR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | MEDICARE | MO89456 | 01 |
| Street Address |
M16 CALLE 13 ESQ CARR 102 |
| City | CABO ROJO |
| State | PR |
| Zip Code | 00623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270490 | Phm Multidisciplinary Clinic Cabo Rojo LLC | Clinic/Center | Pr 100, Galeria 100 Shopping Center Lot No. 13, Cabo Rojo, PR 00623 | 2020-09-17 |
| 1437768421 | Eliezer J Hernandez | Pharmacist | Carr. #100 Km. 6.6 Bo. Miradero, Cabo Rojo, PR 00623 | 2020-07-27 |
| 1144840638 | Grecia Lizbeth Perez De La Pena | Student in an Organized Health Care Education/Training Program | Estancias De Monte Grande #22, Carr 102, Km 23.1, Cabo Rojo, PR 00623 | 2020-04-24 |
| 1255951257 | Sebastian Optical | Eyewear Supplier (Equipment, not the service) | Edificio Dr Colberg La 100 Km5.3, Cabo Rojo, PR 00623 | 2020-04-20 |
| 1316571698 | Paradise Medical Spa | Clinic/Center | Carr. 308 Km. 5.1 Bo. Miradero, Cabo Rojo, PR 00623 | 2020-02-26 |
| 1366075806 | Paulette Haselhorst | Pharmacist | Urb Colinas Del Mar, Cabo Rojo, PR 00623 | 2020-02-12 |
| 1578103610 | Yolanda Martinez | Pharmacist | 3301 Route Km 2.0, House Second Floor- Pharmacy El Combate, Cabo Rojo, PR 00623 | 2020-01-07 |
| 1245879451 | Hecmarie Alonso Gil | Pharmacist | Carr 100 Int Carr 311, Cabo Rojo, PR 00623 | 2020-01-06 |
| 1033755913 | Wilmer Davila | General Practice | Carr 101 Km 16.4, Camino Cofresi, Cabo Rojo, PR 00623 | 2019-11-26 |
| 1790321461 | Ken Robert Malave Ramos | Student in an Organized Health Care Education/Training Program | Urb. Ext. Elizabeth 5117 Calle Cantares, Cabo Rojo, PR 00623 | 2019-11-18 |
| Find all providers in zip 00623 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081780 | A R Quinones, Md LLC | Clinic/Center | 939 Campo Rico Ave, San Juan, PR 00924 | 2020-10-21 |
| 1306347497 | Neuro House. LLC | Clinic/Center | Edificio Center Plex, Carr 2 Km 133.5 Suite 309, Aguada, PR 00602 | 2018-02-23 |
| 1295269900 | Endomed LLC | Clinic/Center | Bs4 Ave Las Americas, Urb Bairoa, Caguas, PR 00917 | 2017-04-19 |
| 1598206039 | Dr. Francisco Vazquez P.s.c. | Clinic/Center | 75 Luis Munoz Marin, Cayey, PR 00736 | 2017-03-16 |
| 1417408790 | Lms Services, LLC | Clinic/Center | 404 Ave De La Constitucion, Cond. Atlantis Apt. 1503, San Juan, PR 00901-2236 | 2016-10-20 |
| 1386199032 | Ncderm LLC | Clinic/Center | 500 Degetau Avenue, Hima Plaza I, Suite 513, Caguas, PR 00725 | 2016-08-23 |
| 1194278689 | B Derm Psc | Clinic/Center | C4 Calle Bromelia, Parque De Bucare, Guaynabo, PR 00969 | 2016-08-01 |
| 1518318344 | 'hormones' Endocrinology Health & Wellness Clinic LLC | Clinic/Center | 67 Ave Baldorioty W, Cayey, PR 00736-3834 | 2016-06-22 |
| 1417302464 | Agd Endocrinology LLC | Clinic/Center | Bs4 Avenida Las Americas, Urbanizacion Bairoa, Caguas, PR 00725 | 2016-04-27 |
| 1912367772 | Servicios Medicos Pediatricos | Clinic/Center | 17 Main and Calle Cibeles, El Retiro Housing, San German, PR 00683-4459 | 2016-03-07 |
| 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.