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Prudential Health Network

NPI 1821374661ActiveOrganization· Preferred Provider Organization· Vega Alta, PR

Preferred Provider Organization in Vega Alta, Puerto Rico, registered in NPPES in October 2011. The authorized official on file is Vladimir Costa, President.

Overview

NPI1821374661
StatusActive
Entity typeOrganization
NPI issuedOct 25, 2011
Last updated in NPPESOct 25, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X——

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