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

Organization subpart

No

Name

Mrs. Rubette Harford

Title

President & Ceo

Phone

(787) 292-7979

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

• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Aguadilla, PR
  • NPI 1205267846
  Same enrollment O20041208001043
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Dorado, PR
  • NPI 1336570043
  Same enrollment O20130702000784
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Carolina, PR
  • NPI 1366873077
  Same enrollment O20081015000536
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Juncos, PR
  • NPI 1487085106
  Same enrollment O20120828000481
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Sebastian, PR
  • NPI 1639509714
  Same enrollment O20041222000551
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Ponce, PR
  • NPI 1639509896
  Same enrollment O20041202000776
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fajardo, PR
  • NPI 1750712394
  Same enrollment O20031105000147
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Toa Baja, PR
  • NPI 1811328529
  Same enrollment O20071129000220
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San German, PR
  • NPI 1871996728
  Same enrollment O20140609000885
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manati, PR
  • NPI 1922439561
  Same enrollment O20041213000216
• Atlantis Health Care Group Puerto Rico, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Mayaguez, PR
  • NPI 1952732596
  Same enrollment O20041210000037

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2016.

{
    "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

• All providers in Trujillo Alto, PR
• 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.