NPIMap

Organization Active NPI

HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • Culebra, PR
National Provider Identifier
1396965679
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 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
Last updated
Jul 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Authorized official

Name
Ivonne Rivera Hernandez, LCDA
Title
Ceo
Phone
(787) 268-4171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X PR
Federally Qualified Health Center (FQHC) 261QF0400X Primary

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 names 1

  • HEALTHPROMED Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396965679. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Jul 24, 1987 in PR
Enrollment address
Calle Pedro Marquez # 44
Culebra, PR 775

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

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

National Provider Directory

National Provider Directory
Tax ID family
HPM Location Inc17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ivonne Rivera Hernandez Individual Corporate DirectorExecutive Director Jun 1, 2016
W-2 Managing EmployeeCeo Jun 1, 2016
Robert Cabello Individual W-2 Managing EmployeeCfo May 1, 2022
Elba Marin Encarnacion Individual Corporate DirectorDirector May 31, 2010
Javier Matos Valenzuela Individual Corporate DirectorDirector May 31, 2010
Oscar Reinoso Cedo Individual Corporate DirectorDirector Mar 1, 2014
Jessica Vazquez Vazquez Individual W-2 Managing EmployeeBilling Supervisor Oct 6, 2021
Monica de Jesus Figueroa Individual Corporate DirectorDirector May 31, 2010
Nelson Cordero Gonzalez Individual Corporate DirectorDirector May 1, 2014
Veronica Melendez Gonzalez Individual Corporate DirectorDirector Nov 1, 2014
Zaida I Torres Rodriguez Individual Corporate DirectorDirector Mar 27, 2018
Carlos Cortes Gonzalez Individual W-2 Managing EmployeeChief Operation and Financial of Jun 7, 2018
Carmen Torres Escute Individual Corporate DirectorDirector Dec 1, 2016

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1396965679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14457",
            "address_2": "BO. OBRERO STATION",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009164457",
            "telephone_number": "787-268-4171",
            "fax_number": "787-919-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE PEDRO MARQUEZ #44",
            "city": "CULEBRA",
            "state": "PR",
            "postal_code": "007750694",
            "telephone_number": "787-468-2966",
            "fax_number": "787-919-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HPM FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA HERNANDEZ",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-268-4171",
        "authorized_official_credential": "LCDA"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALTHPROMED",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Culebra, PR

Sources for this page

Verify at the official NPI Registry.