Organization Active NPI

Prosaludhmocorp

  • Health Maintenance Organization
  • San Juan, PR
National Provider Identifier
1457560195
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
146471 Issued in PR
Legal business name
PROSALUDHMOCORP
Practice address
150 Ave de Diego
San Juan Healthcentr BLGG. Suite 507
San Juan, PR 00907-2300
Phone
(787) 724-6565
Fax
(787) 721-5028
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Luis Francisco Hernandez, LCDO.
Title
President
Phone
(787) 724-6565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 146471 PR Primary

Addresses

Primary practice location

150 Ave de Diego
San Juan Healthcentr BLGG. Suite 507
San Juan, PR 00907-2300

Mailing address

150 Ave de Diego
San Juan Healthcentr BLGG. Suite 507
San Juan, PR 00907-2300
Phone (787) 724-6565

Other identifiers 1

IdentifierTypeStateIssuer
146471OtherPRHMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457560195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO",
            "address_2": "SAN JUAN HEALTHCENTR BLGG. SUITE 507",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-724-6565",
            "fax_number": "787-721-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 AVE DE DIEGO",
            "address_2": "SAN JUAN HEALTHCENTR BLGG. SUITE 507",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072300",
            "telephone_number": "787-724-6565",
            "fax_number": "787-721-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSALUDHMOCORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-724-6565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDO."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "146471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO",
            "identifier": "146471",
            "state": "PR"
        }
    ],
    "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 Aug 22, 2020; 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.