MLD PAIN MANAGEMENT INC. (NPI# 1952683815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952683815 |
| Entity Type | Organization |
| Organization Name | MLD PAIN MANAGEMENT INC. |
| Practice Address |
66 Calle Santa Cruz Instituto San Pablo Suite #407 Bayamon PR 00961-7041 |
| Mailing Address |
Po Box 1558 Dorado PR 00646-1558 |
| Practice Telephone | 7879980088 |
| Practice Fax Number | 7879980019 |
| Mailing Fax Number | 7879980019 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-11-21 |
| Authorized Official Name | DR. MANUEL ENRIQUE LOPEZ (PRESIDENT) |
| Authorized Official Telephone | 7879980088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
15704 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
66 CALLE SANTA CRUZ INSTITUTO SAN PABLO SUITE #407 |
| City | BAYAMON |
| State | PR |
| Zip Code | 00961-7041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474813 | Charles J Fequiere I | Specialist | 66 Calle Santa Cruz, Ste 506, Bayamon, PR 00961-7050 | 2005-06-01 |
| 1659803815 | Caribbean Facial Plastic Surgery Center, Psc | Otolaryngology | 66 Calle Santa Cruz, Instituto San Pablo Suite 407, Bayamon, PR 00961 | 2017-03-28 |
| 1558742957 | Rafael Berrios Marcano Ginecologo, P.s.c | Specialist | 66 Calle Santa Cruz, Instituto San Pablo Oficina 510, Bayamon, PR 00961-7041 | 2015-06-11 |
| 1043603889 | Bayamon Oncology Medical Csp | Clinic/Center | 66 Calle Santa Cruz, Inst. San Pablo Suite 509, Bayamon, PR 00961-7041 | 2015-03-17 |
| 1467880146 | Gastrovem, LLC | Clinic/Center | 66 Calle Santa Cruz, Suite 201-b, Bayamon, PR 00961-7041 | 2013-10-16 |
| 1619236171 | Nefrology & Medical Services Psc | Clinic/Center | 66 Calle Santa Cruz, Suite 503 Instituto San Pablo, Bayamon, PR 00961-7041 | 2012-05-03 |
| 1528388683 | Perpar Psc | Clinic/Center | 66 Calle Santa Cruz, Instituto San Pablo # 304, Bayamon, PR 00961-7041 | 2010-06-10 |
| 1316184161 | Vasco Eguia Moreda | Internal Medicine | 66 Calle Santa Cruz, Suite 201-b, Bayamon, PR 00961-7041 | 2009-01-15 |
| 1083863344 | Roger Polish P.s.c. | Clinic/Center | 66 Calle Santa Cruz, Instituto San Pablo, Suite 502, Bayamon, PR 00961-7041 | 2008-09-11 |
| 1235393547 | Lillian Milagros Diaz | Speech-Language Pathologist | 66 Calle Santa Cruz, Instituto San Pablo Ste. 407, Bayamon, PR 00961-7041 | 2008-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929206 | Raul Alexis Ocasio Gonzalez | Physician Assistant | Urb, Santa Cruz, B7 Calle Santa Cruz, Bayamon, PR 00961 | 2020-10-12 |
| 1073128047 | Bianca Paola Vega | Psychologist | 73 Sabra Cruz Street Suit 405, Bayamon, PR 00961 | 2020-09-15 |
| 1457960940 | Lymari Barnecet | Physician Assistant | Calle Isabel II Suite 107, Edificio Joaquin Montesino, Bayamon, PR 00961 | 2020-07-30 |
| 1104443027 | Sheila Grisel Alicea | Psychologist | Condominio Alborada Apt 1132, Bayamon, PR 00961 | 2020-06-26 |
| 1407471477 | Noemi Burgos | Psychologist | Calle 2 Km 11.8 Edificio Centurion Piso 3, Bayamon, PR 00961 | 2020-06-15 |
| 1740802362 | Carlos Alexis Sepulveda | Social Worker | C-17 Calle Marginal, Santa Cruz, Bayamon, PR 00961 | 2020-05-18 |
| 1245859669 | Angelisse Julianna Rivera Gonzalez | Pharmacist | Ave. Munoz Rivera #425-ng, San Juan, PR 00961 | 2020-04-15 |
| 1003445750 | Miranda Kay Berger Nordelo | Student in an Organized Health Care Education/Training Program | 58-3 Calle 50, Urb Sierra Bayamon, Bayamon, PR 00961 | 2020-04-05 |
| 1215562558 | Gabriela Isabel Oquendo-claudio | Student in an Organized Health Care Education/Training Program | Urb Rio Hondo 1 Rio Caguitas M14, Bayamon, PR 00961 | 2020-03-06 |
| 1265063754 | Iris Angelica Gonzalez Rosa | Psychologist | Ave. West Main, #26, Blq. 48 #22, Sierra Bayamon, Bayamon, PR 00961 | 2020-02-03 |
| Find all providers in zip 00961 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396185831 | Rafael Eduardo Arias Berrios | Physical Medicine & Rehabilitation | Instituto San Pablo Suite 309, 66 Calle Santa Cruz, Bayamon, PR 00961-7049 | 2013-06-28 |
| 1275541534 | Grisselle Perez Santiago | Physical Medicine & Rehabilitation | J16 Calle 2 Ste 110, Bayamon, PR 00959-5045 | 2006-08-03 |
| 1578733937 | Marco Rafael Perez Toro | Physical Medicine & Rehabilitation | 64 Calle Santa Cruz, Edif. Dr. Arturo Cadilla Suite 403, Bayamon, PR 00961-7041 | 2008-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134502610 | Luis Roman Sr. | Physical Medicine & Rehabilitation | 2516 Calle Comparsa, Ponce, PR 00717-0421 | 2015-07-02 |
| 1720488596 | Dr. Hector Delucca LLC | Physical Medicine & Rehabilitation | Consolidated Medical Plaza 201 Ave Gautier Benitez, Ste 307a, Caguas, PR 00725 | 2014-08-29 |
| 1114343555 | Caribbean Musculoskeletal and Rehab LLC | Physical Medicine & Rehabilitation | Street #2, Km 142.2, Anasco, PR 00610 | 2014-03-10 |
| 1801232004 | Maria Palou Physiatric Services, Psc | Physical Medicine & Rehabilitation | # 2 Manuel Garcia Bajos, Las Piedras, PR 00771-3063 | 2013-05-14 |
| 1346597127 | Zaira I Rodriguez Almodovar | Physical Medicine & Rehabilitation | 408 Camino De Los Jobanes, Sabanera Dorado, Dorado, PR 00646-3633 | 2012-08-10 |
| 1386961530 | Luis D Baez-cabrera | Physical Medicine & Rehabilitation | Carr. 159 Km 13.2 Bo. Cibuco, Corozal, PR 00783 | 2010-04-28 |
| 1295963155 | Hector Delucca Jimenez | Physical Medicine & Rehabilitation | Consolidated Medical Plaza Ste 307a, 201 Ave Gautier Benitez, Caguas, PR 00725 | 2009-06-30 |
| 1326166448 | Maria Ines Palou | Physical Medicine & Rehabilitation | #2 Calle Manuel Garcia, Las Piedras, PR 00771-3063 | 2007-03-27 |
| 1033247218 | Luis N Olmedo | Physical Medicine & Rehabilitation | Street 3 S-13 Villas De Parana, San Juan, PR 00926 | 2007-03-01 |
| 1831107184 | Lourdes Delgado | Physical Medicine & Rehabilitation | 21 St. Hospital Metropolitano (second Floor), San Juan, PR 00921 | 2006-08-03 |
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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.