Active NPI
Educa Group
- Multi-Specialty Clinic/Center
- Vega Baja, PR
National Provider Identifier
1073054060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- EDUCA GROUP
- Practice address
- 5689 Calle Parque
Brisas del Rosario
Vega Baja, PR 00693 - Phone
- (787) 453-8855
- NPI assigned
- Mar 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angel Hernandez
- Title
- Administrator
- Phone
- (787) 453-8855
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Assistant | 2355S0801X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Vascular Sonography Radiologic Technologist | 2471V0105X | |||
| Infusion Therapy Clinic/Center | 261QI0500X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
5689 Calle Parque
Brisas del Rosario
Vega Baja, PR 00693
Mailing address
5689 Calle Parque
Brisas del Rosario
Vega Baja, PR 00693
Other practice location 1
carr 693
279 Bo Brenas
Vega Alta, PR 00692
Phone (787) 453-8855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200824000213 | PR | Part B Supplier - Clinic/Group Practice | 1658604368 | Practice locations: Vega Alta, PR |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Diagnostic Ultrasound Physician
- Jayuya, PR
- NPI 1447884564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1073054060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5689 CALLE PARQUE",
"address_2": "BRISAS DEL ROSARIO",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5689 CALLE PARQUE",
"address_2": "BRISAS DEL ROSARIO",
"city": "VEGA BAJA",
"state": "PR",
"postal_code": "00693",
"telephone_number": "787-453-8855"
}
],
"practiceLocations": [
{
"address_1": "carr 693",
"address_2": "279 Bo Brenas",
"address_purpose": "LOCATION",
"city": "Vega Alta",
"state": "PR",
"postal_code": "00692",
"country_code": "US",
"telephone_number": "787-453-8855",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EDUCA GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-10",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "ANGEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-453-8855"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2471V0105X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist, Vascular Sonography",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QI0500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Infusion Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vega Baja, PR
- Dinora Sanchez Gonzalez (Farmacia San Ignacio)
- Maria S Dominguez Pascual, MD
- Dr. Domingo Mendez Mendez CSP
- Dr. Roman Diaz Hematology and Oncology Services, PSC
- Ramon Francisco Echeandia Fuster, M.D.
- Ekilibra LLC
- El Salvador Medical and Homecare Equipment, Inc.
- Elite Emergency Medical Services (EMS Services of Puerto Rico)
- Emergency Medical Contractors
- Empresas Farmaceuticas de V B Inc (Farmacia Gonzalez 2)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.