NPIMap

Organization Active NPI

Hope Health PSC

  • Corporate Health Clinic/Center
  • San Juan, PR
National Provider Identifier
1609186212
Registry record updated Jan 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
License
15488 Issued in PR
Legal business name
HOPE HEALTH PSC
Practice address
Ave de Diego 150
San Juan Health Centre Suite 708
San Juan, PR 00907-2829
Phone
(787) 338-5422
NPI assigned
Oct 15, 2010
Last updated
Jan 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2014

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

Authorized official

Name
Samah Ali-Shehadeh, MD
Title
President
Phone
(787) 529-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X 15488 PR Primary

Addresses

Primary practice location

Ave de Diego 150
San Juan Health Centre Suite 708
San Juan, PR 00907-2829

Mailing address

Ave de Diego 150
San Juan Health Centre Suite 708
San Juan, PR 00907-2829
Phone (787) 338-5422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131024001557 PR Part B Supplier - Clinic/Group Practice 6608001854 Receives reassigned benefits from 17 practitioners
Practice locations: Caguas, PR; Humacao, PR

National Provider Directory

National Provider Directory

Locations

150 Ave de Diego
Ste 708
San Juan, PR 00907
Phone (787) 338-5422

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": "1287100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1609186212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE DE DIEGO 150",
            "address_2": "SAN JUAN HEALTH CENTRE SUITE 708",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072829",
            "telephone_number": "787-338-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE DE DIEGO 150",
            "address_2": "SAN JUAN HEALTH CENTRE SUITE 708",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009072829",
            "telephone_number": "787-338-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HEALTH PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-15",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "ALI-SHEHADEH",
        "authorized_official_first_name": "SAMAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-529-3102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "PR",
            "license": "15488",
            "primary": true
        }
    ],
    "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 Jan 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.