NPIMap

Organization Active NPI

Ecohealth Medical Group LLC

  • Health Maintenance Organization
  • San Juan, PR
National Provider Identifier
1386429488
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
ECOHEALTH MEDICAL GROUP 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
Aug 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Daiaraliz Lopez
Title
President
Phone
(787) 210-9816

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

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

Other names 1

  • ECOHEALTH MEDICAL GROUP LLC Doing business as

National Provider Directory

National Provider Directory

Ownership & 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.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1386429488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB LOS MONTES",
            "address_2": "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 GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DAIARALIZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-210-9816"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECOHEALTH MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ECOHEALTH MEDICAL GROUP LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 22, 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.