PREMIUM PEDIATRIC GROUP (NPI# 1962857631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962857631 |
Entity Type | Organization |
Organization Name | PREMIUM PEDIATRIC GROUP |
Other Organization Name | PREMIUM PEDIATRIC GROUP PSC |
Practice Address |
Calle 129 Ave San Luis 129 Arecibo PR 00614-0000 |
Mailing Address |
439 Guanica Urb Sabanera Dorado PR 00646-0000 |
Practice Telephone | 7879559130 |
Mailing Telephone | 7879559130 |
Enumeration Date | 2016-04-29 |
Last Update Date | 2016-04-29 |
Authorized Official Name | LUIS CRUZ (ADMINISTRADOR) |
Authorized Official Telephone | 7879559130 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 146D00000X | Personal Emergency Response Attendant | 12804 | PR | Emergency Medical Service Providers |
Other Name | Type Code |
---|---|
PREMIUM PEDIATRIC GROUP PSC | Former Legal Business Name - Organization |
Street Address |
CALLE 129 AVE SAN LUIS 129 |
City | ARECIBO |
State | PR |
Zip Code | 00614-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578104139 | Mildred Marie Rios | Speech-Language Pathologist | Bo Carrozales, Arecibo, PR 00614 | 2019-10-04 |
1659732436 | Jessica Cortes Velazquez | Psychologist | Carr 129 Km 8.0, Bo Campo Alegre, Arecibo, PR 00614 | 2016-03-08 |
1639548878 | Veronica Perez | Social Worker | 108 Avenida Jose De Diego, Arecibo, PR 00614 | 2015-09-17 |
1164805503 | Cathy Maldonado Rios | Registered Nurse | 108 Ave Jose De Diego, Areicbo, PR 00614 | 2015-07-02 |
1760887160 | Luis Montalvo Bonilla | Specialist | 404 Ave. De Diego, Arecibo, PR 00614 | 2014-10-28 |
1427357862 | The Golden Fennix Ambulance Service Inc | Ambulance | Buenos Aires, Calle Jose Olmo 317, Arecibo, PR 00614 | 2011-03-24 |
1568696052 | Jose Luis Gabriel | Emergency Medical Technician, Paramedic | Calle Pedro Mora Acosta # 40, Urb. San Lorenzo, Arecibo, PR 00614 | 2009-05-12 |
1619114675 | Luis F Gutierrez Padin | Personal Emergency Response Attendant | St # 18 House 369, Bo. Domingo Ruiz, Arecibo, PR 00614 | 2009-01-13 |
1932345006 | Ramonita Cotte | Personal Emergency Response Attendant | Colinas De Palamarito, Calle Coral #2, Arecibo, PR 00614 | 2008-12-19 |
1962647636 | Promed Amb Services & Sales Corp. | Ambulance | Km. 70.02 Carr. #2, Barrio Santana, Arecibo, PR 00614 | 2008-12-10 |
Find all providers in zip 00614 |
Taxonomy Code | 146D00000X |
Grouping | Emergency Medical Service Providers |
Classification | Personal Emergency Response Attendant |
Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093038465 | Clinica Dr Bague | Personal Emergency Response Attendant | Carr 681 Km 4.4, Islote, Arecibo, PR 00612-0000 | 2010-03-12 |
1801020888 | Arecibo Medical Emergencies Inc | Personal Emergency Response Attendant | Calle 129, Sala Emergencia Hosp Cayetano Coll Y Toste, Arecibo, PR 00612 | 2009-05-06 |
1619114675 | Luis F Gutierrez Padin | Personal Emergency Response Attendant | St # 18 House 369, Bo. Domingo Ruiz, Arecibo, PR 00614 | 2009-01-13 |
1932345006 | Ramonita Cotte | Personal Emergency Response Attendant | Colinas De Palamarito, Calle Coral #2, Arecibo, PR 00614 | 2008-12-19 |
1316068703 | Deliana Gonzalez Torres | Personal Emergency Response Attendant | Hc 3 Box 20680, Arecibo, PR 00612-9118 | 2007-04-03 |
1427091040 | Salvador Lopez-rojas | Personal Emergency Response Attendant | Carretera Num. 2 Ramal 638 Km. 6.0 Miraflores, 638 Km. 6.0, Arecibo, PR 00612 | 2006-06-13 |
1013287192 | Reynaldo Soto | Personal Emergency Response Attendant | 55 Calle Palma, 201, Arecibo, PR 00612-4526 | 2012-01-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811477474 | Ricardo Javier Hernandez | Personal Emergency Response Attendant | 123 Calle Dorado, Isabela, PR 00662-2263 | 2018-08-14 |
1861996720 | Liara Mabel Perez | Personal Emergency Response Attendant | C12 Aa 16 4ta Secc Villa Del Rey, Caguas, PR 00727 | 2018-03-23 |
1457712028 | Luquillo Medical Services, LLC | Personal Emergency Response Attendant | 159 Calle 14 Julio, Luquillo, PR 00773 | 2016-03-10 |
1013332865 | Nelson Homero Gil Garcia | Personal Emergency Response Attendant | Calle Primera D 6, Villa Maria, Manati, PR 00674 | 2014-03-03 |
1386949378 | Advanced Pediatric Care, Psc | Personal Emergency Response Attendant | Street #2 Km. 11.7, Bayamon, PR 00960 | 2011-01-21 |
1245532738 | Deyanira Torres Millan | Personal Emergency Response Attendant | Su88 Circulo Magico, Hormigueros, PR 00660-1219 | 2010-12-03 |
1114247855 | Jessica B. Ibarra | Personal Emergency Response Attendant | La Milagrosa B6 Urb Garcia Ponce, Fajardo, PR 00738 | 2010-06-04 |
1902036635 | Excellence Emergency Group Csp | Personal Emergency Response Attendant | Urb Costa Azul Calle 14 K 12, Guayama, PR 00784-0000 | 2009-07-15 |
1417183104 | Michelle Fuentes | Personal Emergency Response Attendant | Hc 2 Box 20576, Aguadilla, PR 00603-9608 | 2009-06-08 |
1679715742 | Javier Gonzalez Ocana | Personal Emergency Response Attendant | Agustin Ramos Calero Street, #23, Isabela, PR 00662 | 2009-04-03 |
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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.