Organization Active NPI

Innovative Health Care LLC

  • Other Specialist/Technologist
  • Moca, PR
National Provider Identifier
1053286252
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
Legal business name
INNOVATIVE HEALTH CARE LLC
Practice address
Vistas de Las Palmas 16, Carr 111 KM 3.1 Bo Pueblo
Moca, PR 00676
Phone
(787) 590-6321
NPI assigned
Oct 7, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Jaime Cordero Quinones, TEC
Title
President
Phone
(787) 590-6321

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/TechnologistGroup: 193400000X SINGLE SPECIALTY GROUP 246Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

Vistas de Las Palmas 16, Carr 111 KM 3.1 Bo Pueblo
Moca, PR 00676

Mailing address

PO Box 1539
Moca, PR 00676-1539
Phone (787) 590-6321

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2025.

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1053286252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761539",
            "telephone_number": "787-590-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISTAS DE LAS PALMAS 16, CARR 111 KM 3.1 BO PUEBLO",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-590-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "CORDERO QUINONES",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-590-6321",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "TEC"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.