Optimind Managed Behavioral Healthcare Organization Corporation

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

PAE013 Issued in PR

Legal business name

OPTIMIND MANAGED BEHAVIORAL HEALTHCARE ORGANIZATION CORPORATION

Practice address

Carr. #3 KM. 13.4
Bo. Canovanillas
Carolina, PR 00984-0042

Phone

(787) 522-4618

Fax

(787) 522-4619

NPI assigned

Jul 18, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Jorge L Pesquera

Title

Executive Director

Phone

(787) 522-4618

Specialties & licenses 1

Addresses

Other names 1

• OPTIMIND CLINIC Doing business as

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1952718264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20000",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007290042",
            "telephone_number": "787-522-4618",
            "fax_number": "787-522-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. #3 KM. 13.4",
            "address_2": "BO. CANOVANILLAS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009840042",
            "telephone_number": "787-522-4618",
            "fax_number": "787-522-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMIND MANAGED BEHAVIORAL HEALTHCARE ORGANIZATION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "PESQUERA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-522-4618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PR",
            "license": "PAE013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTIMIND CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Onestopprescriptionislaverde
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• Optima Vision
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• Quetcy Oquendo-de Los Santos, M.D.
• Kiara Revilla Orellano, MS
• Organizacion de Salud Administrada-Osa, Inc
• Ramon Luis Ortega Colon, M.D.
• Zilkia Ortega, RD, MPH, LND

• Health Maintenance Organization in Carolina, PR
• Providers in Carolina, PR by specialty
• Health Maintenance Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.