DR. GERT HAROLD WANDERSLEBEN MIHOVILOVIC (NPI# 1962061879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962061879 |
Entity Type | Individual |
Full Name | DR. GERT HAROLD WANDERSLEBEN MIHOVILOVIC |
Credential | MD |
Practice Address |
Ipa 513 Calle Mayaguez Hato Rey PR 00919 |
Mailing Address |
Po Box 155 Rio Grande PR 00745-0155 |
Practice Telephone | 7877648018 |
Mailing Telephone | 7879517420 |
Enumeration Date | 2019-06-13 |
Last Update Date | 2020-07-03 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 21376 | PR | Allopathic & Osteopathic Physicians |
Street Address |
IPA 513 CALLE MAYAGUEZ |
City | HATO REY |
State | PR |
Zip Code | 00919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528667342 | Kiaraliz Cruz-montero | Dietitian, Registered | Ave. Juan Ponce De Leon Parada 37 1/2, Hato Rey, PR 00919 | 2020-10-22 |
1710596820 | Sara Viel Torres | Nutritionist | Avenida Ponce De Leon 715, Nutrition Department, San Juan, PR 00919 | 2020-07-24 |
1639797145 | Edniris Marie Barreto | Health Educator | Ave. Arterial Hostos, San Juan, PR 00919 | 2020-07-10 |
1134742182 | Antonio Enrique Gutierrez Mendiola | Student in an Organized Health Care Education/Training Program | Av Juan Ponce D E Leon,hato Rey, San Juan, PR 00919 | 2020-05-26 |
1679196547 | Alexandra Rodriguez Ruiz | Student in an Organized Health Care Education/Training Program | Ave. Ponce De Leon, Parada 37 1/2, Hato Rey, PR 00919 | 2020-05-26 |
1609356195 | Precision Hearing Center Inc | Physical Medicine & Rehabilitation | Street 845 Km 2 2, Ave Fairview D 36, San Juan, PR 00919 | 2018-08-15 |
1497258339 | Cmt Group, Corp | Radiology | Urb University Gardens, 300 Calle Clemson, San Juan, PR 00919 | 2018-03-16 |
1811401714 | Imrad Pr LLC | Radiology | 714 Ave Ponce De Leon Parada 37.5, Piso 3 Hospital Auxilio Mutuo, San Juan, PR 00919 | 2017-11-30 |
1952831604 | Steven Emil Morales Rivera | Student in an Organized Health Care Education/Training Program | Ponce De Leon Ave. Parada 37 1/2, Hospital Auxilio Mutuo Building #715, Hato Rey, PR 00919 | 2017-06-15 |
1639617681 | Clinica Interamericana De Serv. Psic. | Clinic/Center | Calle Francisco Sein Carretera 1, Rio Piedras, PR 00919 | 2017-02-09 |
Find all providers in zip 00919 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386182632 | Shayranisse Pagan | General Practice | Hospital Auxilio Mutuo Avenida Ponce De Leon, Parada 37 1/2, Hato Rey, PR 00919 | 2017-02-07 |
1376956581 | Alejandra Rodriguez Lueje | General Practice | Ave. Ponce De Leon Pda. 37.5, Hato Rey, PR 00918 | 2014-06-05 |
1134348964 | Ricardo Camayd Aragunde | General Practice | Ave Domenech 281, Hato Rey, PR 00918 | 2007-04-24 |
1962530634 | Jorge L Velez | General Practice | Suite 707 La Torre De Plaza Las Americas, Hato Rey, PR 00918 | 2007-03-02 |
1083772792 | Ricardo Marrero Santiago | General Practice | Jose Marti #57, Hato Rey, PUERTO RICO 917 | 2006-12-05 |
1639251184 | Erika Damaris Rivera Rivera | General Practice | Clinica Las Americas Office 109, Ave. Roosevelt #400, Hato Rey, PR 00918 | 2006-10-20 |
1497841217 | Wilma San Miguel | General Practice | Cabo H Alverio Urb. La Merced, 574, Hato Rey, PR 00918 | 2006-10-05 |
1891757936 | Mariela Torres Del Valle | General Practice | Cond El Centro 2, Ofic 33-c Ave Munoz Rivera #500, Hato Rey, PR 00918 | 2006-04-04 |
1336112572 | Maria Julia Vazquez | General Practice | 31 Calaf St., Montemar Plaza 5b, Hato Rey, PR 00918 | 2006-02-08 |
1619948437 | Pascual Merlos | General Practice | C Guarionez Local 7, Hato Rey, PR 00917 | 2006-01-30 |
Find all providers in HATO REY |
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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.