Health Alliance Administrative CSP

Primary specialty

Ambulatory Family Planning FacilityTaxonomy code 261QA0005X

License

6232 Issued in PR

Legal business name

HEALTH ALLIANCE ADMINISTRATIVE CSP

Practice address

Medical Pavillion
Suite 11
San Juan, PR 00909-2541

Phone

(787) 724-6590

Fax

(787) 724-7280

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By 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

Dr. Nidza Gomez

Title

Presidente

Phone

(787) 724-6590

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1235497694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL PAVILLION",
            "address_2": "SUITE 11",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092541",
            "telephone_number": "787-724-6590",
            "fax_number": "787-724-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL PAVILLION",
            "address_2": "SUITE 11",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092541",
            "telephone_number": "787-724-6590",
            "fax_number": "787-724-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH ALLIANCE ADMINISTRATIVE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NIDZA",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-724-6590",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "PR",
            "license": "6232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abbud Jacobo Haydar, MD
• Nora C Hayes, RPH
• Headache Center of PR and the Caribbean LLC
• Healing Arts Institute LLC
• Health Administration Services, Inc.
• Health Analytics Consulting Group Corp.
• Health and Hospice, Inc.
• Health and Wellness Network of the Americas, LLC (PRUSA Health)
• Health Care Center of Orthotics and Prosthetics of PR Inc
• Health Chiropractic San Juan, LLC

• Ambulatory Family Planning Facility in San Juan, PR
• Providers in San Juan, PR by specialty
• Ambulatory Family Planning Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.