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NPI 1306121553ActiveOrganization· Clinic/Center· Hato Rey, PR

Clinic/Center in Hato Rey, Puerto Rico, registered in NPPES in October 2011. The authorized official on file is Samah Ali-Shehadeh, MD, President.

Overview

NPI1306121553
StatusActive
Entity typeOrganization
NPI issuedOct 19, 2011
Last updated in NPPESOct 19, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Clinic/Center Primary261Q00000X15488PR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Clinic/Center providers in Hato Rey

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