FENIX MED (NPI# 1972134344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972134344 |
| Entity Type | Organization |
| Organization Name | FENIX MED |
| Practice Address |
100 Ave Laurel Bayamon PR 00956-4816 |
| Mailing Address |
Po Box 275 Bayamon PR 00960-0275 |
| Practice Telephone | 7875064161 |
| Practice Fax Number | 7872867572 |
| Mailing Telephone | 7875064161 |
| Mailing Fax Number | 7872867572 |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |
| Authorized Official Name | KAREN MARIE RIVERA (GENERAL MANAGER) |
| Authorized Official Telephone | 7875064161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
100 AVE LAUREL |
| City | BAYAMON |
| State | PR |
| Zip Code | 00956-4816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407810849 | Francisco Gomez Goytia | Radiology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2006-04-13 |
| 1043821689 | Grecia Marie Santaella Mendez | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-16 |
| 1326659871 | Gretchel J Santiago-jhaveri | Psychologist | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-10 |
| 1215547013 | Marli Carolina Almonte | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-06 |
| 1376153536 | Henry Alexander Ruberte | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-08-03 |
| 1134746944 | Waldo Jesus Santiago Colberg | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-06-26 |
| 1427698208 | Puerto Rico Advanced Urology Center, LLC | Clinic/Center | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2020-01-09 |
| 1720633563 | Isis E Silvestrini-bonilla | Pathology | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-08-08 |
| 1295389906 | Monica Montes | Student in an Organized Health Care Education/Training Program | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-07-31 |
| 1841844115 | John Derrick Van Doren | Internal Medicine | 100 Ave Laurel, Bayamon, PR 00956-4816 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437514 | Julio Alberto Cedeno Alicea | Pharmacist | Carr. 174 Km. 10.2, Sec. La Morenita Bo. Guaraguao, Bayamon, PR 00956 | 2020-11-03 |
| 1851992275 | Patricia Santurio | Pharmacist | Farmacia Magda C 30, Santa Juanita, Bayamon, PR 00956 | 2020-11-03 |
| 1336754423 | Gustavo Jose Morey Cruz | Physical Therapist | Urb Santa Juanita Calle 30 Uu #43, Bayamon, PR 00956 | 2020-09-15 |
| 1609480961 | Great Vision, LLC | Optometrist | Avenida Laurel Gh1 Ofic #3, Santa Juanita, Bayamon, PR 00956 | 2020-09-03 |
| 1861004285 | Glorilis Zambrana Sr. | Social Worker | Carr. 174 Km 15.3 Barrio Guaraguao Arriba, Sector Chorrera, Bayamon, PR 00956 | 2020-08-18 |
| 1568073484 | Luz Myriam Bracero | Counselor | Carr 174 Km 8.3, Bo Guaraguao Abajo, Bayamon, PR 00956 | 2020-08-13 |
| 1316565641 | Aa Home Rental Inc | Clinical Medical Laboratory | Carr 829 Km,6.2, Bayamon, PR 00956 | 2020-07-13 |
| 1750909495 | Agustin Vazquez | Physician Assistant | Carr 167 Km 10.9, Bayamon, PR 00956 | 2020-07-09 |
| 1710509211 | Carmen Luz Rosa Santiago | Registered Nurse | Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 | 2020-05-07 |
| 1649891193 | Omar Pantaleon | Student in an Organized Health Care Education/Training Program | Avenida Laurel, Santa Juanita, Bayamon, PR 00956 | 2020-05-06 |
| Find all providers in zip 00956 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215347372 | Galeria Radiologica Digital LLC | Radiology | Santa Cruz St. 64, Galeria Medica Suite 104, Bayamon, PR 00961-7001 | 2014-04-29 |
| 1902164973 | Professional Emergency Medical Services Corp. | Radiology | Suite 501, Bayamon Medical Plaza, Bayamon, PR 00956-7200 | 2012-04-27 |
| 1497087258 | Dr Salvador Mercado Mercado Csp | Radiology | 1995 #2 Street Torre A Suite 001, Bayamon, PR 00959-0000 | 2010-02-04 |
| 1962735688 | Samuel O Padua Perez | Radiology | 20-25 Carr 174, Bayamon, PR 00959-6617 | 2009-09-14 |
| 1841490059 | Mayra Maldonado | Radiology | #70 Urb Santa Cruz, Bayamon, PR 00961-1436 | 2007-07-25 |
| 1831302702 | Centro Medico Del Turabo Inc | Radiology | Hima San Pablo Bayamon, Urb Santa Cruz 70 Santa Cruz, Bayamon, PR 00959 | 2007-05-08 |
| 1912129693 | Allan Saunders-malave | Radiology | Doctor Center's Hospital De Bayamon, Dept De Radiologia Intervencional, Bayamon, PR 00969 | 2007-05-03 |
| 1386863975 | Nogal Radiology Associates | Radiology | 4x68 Calle Quina, Bayamon, PR 00956-2965 | 2007-04-24 |
| 1205958949 | Francisco Jose Orobitg Brenes | Radiology | Ct Radiology Complex, 1815 Carr 2, Bayamon, PR 00959 | 2007-04-04 |
| 1427196385 | Javier Andres Nazario Larrieu | Radiology | Edif Instituto San Pablo # 201b, 66 Calle Santa Cruz, Bayamon, PR 00961-7041 | 2007-02-02 |
| Find all providers in BAYAMON | ||||
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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.