HPM Foundation Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Culebra, PR
NPI 1396965679 · NPPES record last updated Jul 10, 2024
Key facts
- NPI
- 1396965679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- HPM FOUNDATION INC
- Practice address
- Calle Pedro Marquez #44
Culebra, PR 00775-0694 - Phone
- (787) 468-2966
- Fax
- (787) 919-3956
- NPI assigned
- Apr 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Ivonne Rivera Hernandez, LCDA
- Title
- Ceo
- Phone
- (787) 268-4171
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 16
Practitioners 31
-
Limary Cordero Rivera, M.D.
-
Ivonne V Acevedo, O.D.
-
Juan Manuel Roman-Vega, M.D.
-
Marcos E. Velez, M.D.
-
Kathleen Magruder, M.D.
-
Joanne M Marin, MD.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PR
Federally qualified health center certification: CCN 401857
- Legal name
- HPM FOUNDATION INC
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 17, 2019
- Last certification
- Apr 17, 2019
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Jul 24, 1987 in PR
- Enrollment address
- Calle Pedro Marquez # 44
Culebra, PR 775
All disclosed owners & managing parties 12
| Name | Role | Since | Share |
|---|---|---|---|
| Ivonne Rivera Hernandez |
Corporate Director |
Jun 1, 2016 | |
| W-2 Managing Employee |
Jun 1, 2016 | ||
| Robert Cabello |
W-2 Managing Employee |
May 1, 2022 | |
| Elba Marin Encarnacion |
Corporate Director |
May 31, 2010 | |
| Javier Matos Valenzuela |
Corporate Director |
May 31, 2010 | |
| Oscar Reinoso Cedo |
Corporate Director |
Mar 1, 2014 | |
| Jessica Vazquez Vazquez |
W-2 Managing Employee |
Oct 6, 2021 | |
| Monica de Jesus Figueroa |
Corporate Director |
May 31, 2010 | |
| Nelson Cordero Gonzalez |
Corporate Director |
May 1, 2014 | |
| Veronica Melendez Gonzalez |
Corporate Director |
Nov 1, 2014 | |
| Zaida I Torres Rodriguez |
Corporate Director |
Mar 27, 2018 | |
| Carlos Cortes Gonzalez |
W-2 Managing Employee |
Jun 7, 2018 | |
| Carmen Torres Escute |
Corporate Director |
Dec 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100406000251 | PR | Part B Supplier - Clinic/Group Practice | 3870629579 |
Receives reassigned benefits from 65 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Carolina, PR; Culebra, PR; Guaynabo, PR; San Juan, PR; Vieques, PR |
| O20190327000019 | PR | Part a Provider - Federally Qualified Health Center (FQHC) | 3870629579 | Practice locations: Culebra, PR |
National Provider Directory
- Tax ID family
- HPM Foundation Clinical Laboratory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | PR | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
Calle Pedro Marquez #44
Culebra, PR 00775-0694
Mailing address
PO Box 14457
Bo. Obrero Station
San Juan, PR 00916-4457
Phone (787) 268-4171
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 037632800 | Medicaid | PR |
Other names
- HEALTHPROMED
Other providers in Culebra, PR
- Dentistas Misioneros de PR (Dmdpr)
- Melitza Diaz
- Farmacia Culebra Ipa 508
- Hospital Menonita Caguas Inc
- HPM Foundation Inc
- Inspira Behavioral Care Corp.
- Junta del Centro Dr Jose S Belaval
- Quiroz LLC
- Sonia Ivelisse Rivera Rosado
- Sala Emrg CDT Culebra
All providers in Culebra, PR · Federally Qualified Health Center (FQHC) in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.