NPIMap

Organization Active NPI

Ecohealth Medical System LLC

  • Case Manager/Care Coordinator
  • San Juan, PR
National Provider Identifier
1346008661
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ECOHEALTH MEDICAL SYSTEM LLC
Practice address
117 Eleanor Roosevelt Avenue
Tres Rios Office Building Suite 500
San Juan, PR 00918
Phone
(787) 705-7979
Fax
(787) 705-7970
NPI assigned
Mar 11, 2024
Organization subpart
Yes
Parent organization
ECOHEALTH MEDICAL GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Daiaraliz Lopez Hermina
Title
Ceo
Phone
(787) 210-9816

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

117 Eleanor Roosevelt Avenue
Tres Rios Office Building Suite 500
San Juan, PR 00918

Mailing address

Urb Los Montes Calle Flamenco 592
Dorado, PR 00646
Phone (787) 210-9816

National Provider Directory

National Provider Directory
Part of
Ecohealth Medical Group LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1346008661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS MONTES CALLE FLAMENCO 592",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "00646",
            "telephone_number": "787-210-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ELEANOR ROOSEVELT AVENUE",
            "address_2": "TRES RIOS OFFICE BUILDING SUITE 500",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-705-7979",
            "fax_number": "787-705-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECOHEALTH MEDICAL SYSTEM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ECOHEALTH MEDICAL GROUP LLC",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ HERMINA",
        "authorized_official_first_name": "DAIARALIZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-210-9816"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.