Policlinica Familiar Shalom Inc

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

POLICLINICA FAMILIAR SHALOM INC

Practice address

Carr #2 KM 101.6
Barrio Terranova Calle Harginal del Parque Quebradillas
Quebradillas, PR 00678

Phone

(787) 291-0909

NPI assigned

May 26, 2017

Organization subpart

Yes

Parent organization

SERVICIOS PREVENTIVOS DE QUEBRADILLASAs reported in NPPES

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

Authorized official

Name

Mrs. Vivian Feliciano

Title

Directora Ejecutiva

Phone

(787) 291-0909

Specialties & licenses 1

Addresses

Other names 1

• Policlinica Familiar Shalom Inc Other name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Policlinica Familiar Shalom Inc

  • Public Health & General Preventive Medicine Physician
  • Mayaguez, PR
  • NPI 1619580321

  O20170929001901

  Same enrollment
• Policlinica Familiar Shalom Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quebradillas, PR
  • NPI 1831302173

  O20170929001901

  Same enrollment

Tax ID family

Policlinica Familiar Shalom2 organizations share this tax ID, including this one

Part of

Policlinica Familiar Shalom

Other organizations with this tax ID 1

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

• Policlinica Familiar Shalom Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Quebradillas, PR
  • NPI 1831302173
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eduardo Rodriguez Vazquez

  • General Practice Physician
  • San Sebastian, PR
  • NPI 1457395683
  NPD

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1992233522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 903",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-291-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR #2 KM 101.6",
            "address_2": "BARRIO TERRANOVA CALLE HARGINAL DEL PARQUE QUEBRADILLAS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-291-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLICLINICA FAMILIAR SHALOM INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SERVICIOS PREVENTIVOS DE QUEBRADILLAS",
        "enumeration_date": "2017-05-26",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "FELICIANO",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_title_or_position": "DIRECTORA EJECUTIVA",
        "authorized_official_telephone_number": "787-291-0909",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Policlinica Familiar Shalom Inc",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Policlinica Familiar Shalom Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ingrid Janice Perez, MSW
• Katiria Perez
• Vivian Vanessa Perez, D.C.
• Joel O Piquet, R.PH.
• Policlinica Familiar Shalom Inc
• Policlinica Medica Familiar de Quebradillas, C.S.P.
• Margarita Prieto Prieto, M.S.W.
• Quality Service Pharmacy Inc
• Quebradillas Health Care Center PSC
• Quebradillas Health Group Inc.

• Public Health & General Preventive Medicine Physician in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• Public Health & General Preventive Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.