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NPI 1205516366ActiveOrganization· Clinic/Center, Multi-Specialty· San Juan, PR
Clinic/Center, Multi-Specialty in San Juan, Puerto Rico, registered in NPPES in July 2023. The authorized official on file is Maribel Campos Rivera, MD MSC MBA, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205516366 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 24, 2023 |
| Last updated in NPPES | Dec 15, 2025 |
| Certified by provider | Dec 15, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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