LA CAOBA MEDICAL GROUP INC (NPI# 1942564091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942564091 |
| Entity Type | Organization |
| Organization Name | LA CAOBA MEDICAL GROUP INC |
| Practice Address |
469 Ave De Diego San Juan PR 00923-3015 |
| Practice Telephone | 7877814715 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | JAVIER E ANDINO (PRESIDENT & TREASURY) |
| Authorized Official Telephone | 7877814715 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
469 AVE DE DIEGO |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00923-3015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997862 | Lazo Social, LLC | Clinic/Center | 419 Jose De Diego Street, Suite 9, San Juan, PR 00923 | 2020-09-23 |
| 1023624442 | Growing Up Therapy and Research Center | Occupational Therapy Assistant | 322 Calle Badajoz, Valencia Suites A-1, San Juan, PR 00923 | 2020-09-21 |
| 1417574351 | A R Med Transport | Non-emergency Medical Transport (VAN) | Calle Barranquitas 516 Reparto America, Reparto America, Sj, PR 00923 | 2020-06-26 |
| 1285255653 | Jorge Luis Reyes-mendoza | Registered Nurse | Lopez Sicardo Ave. Bldg. B18 Apt. 208, Res. Manuel A. Perez, San Juan, PR 00923 | 2020-04-27 |
| 1497389290 | Ileana Burgos | Psychologist | Calle De Diego Cond. De Duego Chalets 474, San Juan, PR 00923 | 2020-03-02 |
| 1295390292 | Nathalie E Alvarez | Speech-Language Pathologist | Calle Santa Rosa, Urb Altamesa, San Juan, PR 00923 | 2019-05-06 |
| 1457821431 | Jonathan Guzman Cruz | Pharmacist | Montehiedra, Los Romeros Ave. Rio Piedras, San Juan, PR 00923 | 2018-12-03 |
| 1508352667 | Anthony Francisco Rivera Betancourt Sr. | Non-emergency Medical Transport (VAN) | Calle Barranquitas, 516 Reparto America, San Juan, PR 00923 | 2018-07-02 |
| 1811482029 | Enid M. Gonzalez | Dietitian, Registered | Calle De Diego 369 Torre San Francisco, Suite 507, San Juan, PR 00923 | 2018-06-29 |
| 1407347909 | Hildabelis Martinez-diaz | Pathology | 771 Calle Teodoro Aguilar, Urb. Los Maestros, San Juan, PR 00923 | 2018-05-21 |
| Find all providers in zip 00923 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1003327347 | Best Health Group LLC | Specialist | 1540 Bori Street, Urb . Belisa, San Juan, PR 00926 | 2017-10-13 |
| 1174049100 | Administracion De Servicios De Atencion Primaria | Specialist | 1812 Ave Ponce De Leon, San Juan, PR 00909-1909 | 2017-08-22 |
| 1376075614 | Caribbean Healthcare Management Group, Inc | Specialist | 139 Carr 177, Cond Santa Maria Apto 1501, San Juan, PR 00926-5343 | 2017-03-28 |
| 1518321934 | Horizon Management Group | Specialist | #207 A Street, Urb. Los Veteranos, San Juan, PR 00921 | 2016-04-12 |
| 1821464108 | Gyne-ob.medical,llc | Specialist | 4 Calle Revdo Domingo Marrero Navarro, Sta. Rita, San Juan, PR 00925 | 2015-08-20 |
| 1013399682 | Amr Institute of Medicine LLC | Specialist | 137 Calle Mayaguez, San Juan, PR 00917 | 2015-06-19 |
| 1437577863 | Pre-vue | Specialist | Calle Parana 1669, San Juan, PR 00926 | 2014-04-02 |
| 1811237902 | Girad, LLC | Specialist | 1315 Ave Ashford Apt 605, San Juan, PR 00907-1375 | 2013-02-26 |
| Find all providers in SAN JUAN | ||||
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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.