Atlantis Health Care Group Puerto Rico Inc

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

LIC #3 CNC 01-109 Issued in PR

Legal business name

ATLANTIS HEALTH CARE GROUP PUERTO RICO INC

Practice address

Calle Aniceto Diaz Interseccion 876
Expreso Trujillo Alto
Trujillo Alto, PR 00978

Phone

(787) 292-7979

Fax

(787) 292-7999

NPI assigned

Oct 18, 2006

Last updated

Sep 9, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rubette Harford

Title

President & Ceo

Phone

(787) 292-7979

Specialties & licenses 11

Addresses

Medicare fee-for-service enrollment

Enrolled in PR11 enrollments

Enrollment records 11

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Aguadilla

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Aguadilla, PR
  • NPI 1205267846

  O20041208001043

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Dorado

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dorado, PR
  • NPI 1336570043

  O20130702000784

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Carolina

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carolina, PR
  • NPI 1366873077

  O20081015000536

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Juncos

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Juncos, PR
  • NPI 1487085106

  O20120828000481

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of San Sebastian

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Sebastian, PR
  • NPI 1639509714

  O20041222000551

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Ponce

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ponce, PR
  • NPI 1639509896

  O20041202000776

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Fajardo

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fajardo, PR
  • NPI 1750712394

  O20031105000147

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Toa Baja

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Toa Baja, PR
  • NPI 1811328529

  O20071129000220

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of San German

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San German, PR
  • NPI 1871996728

  O20140609000885

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Manati

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manati, PR
  • NPI 1922439561

  O20041213000216

  Same enrollment
• Atlantis Health Care Group Puerto Rico, Inc.

  dba Renal Centre of Mayaguez

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mayaguez, PR
  • NPI 1952732596

  O20041210000037

  Same enrollment

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1104907682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1350",
            "address_2": "ST. JUST STATION",
            "city": "SAINT JUST",
            "state": "PR",
            "postal_code": "009781350",
            "telephone_number": "787-292-7979",
            "fax_number": "787-292-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ANICETO DIAZ INTERSECCION 876",
            "address_2": "EXPRESO TRUJILLO ALTO",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00978",
            "telephone_number": "787-292-7979",
            "fax_number": "787-292-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS HEALTH CARE GROUP PUERTO RICO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "HARFORD",
        "authorized_official_first_name": "RUBETTE",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "787-292-7979",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC #3 CNC 01-109",
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC #23 CNC 05-260",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC #12 CNC 04-126",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC #19 CNC 01-107",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC #37 CNC 02-166",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC #25 CNC 01-108",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "27 CNC 02-162",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC NUM 36",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC #28 CNC 03-278",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC. #44 CNC12-087",
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PR",
            "license": "LIC # 46 CNC 13-051",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Enrique Artache, M.D.
• Dinorah Arzola, PT
• Danessa M Asencio Vicente, MSW
• Hilda Ivette Asencio, MSW
• Liana Maria Astacio, LND
• Augusto Jose Ayala-Caminero, MD
• Yenitza Ayala, RN
• Ayudame a Crecer Centro Terapeutico LLC
• Balance and Vestibular Rehab, LLC
• Huascar A Barros Burgos, MD

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.

Verify at the official NPI Registry.