Organization
HPM FOUNDATION INC
Active
Other names
HEALTHPROMED
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE RIVERA (CEO)
(787) 268-4171
Entity
Organization
Contact information
Practice address
121 AVE PONCE DE LEON, BO AMELIA, GUAYNABO, PR 00965-5602
(787) 773-1133
(787) 919-3956
Mailing address
PO BOX 14457, SAN JUAN, PR 00916-4457
(787) 268-4171
(787) 919-3956
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037910500
—
PR
Enumeration date
12/13/2019
Last updated
07/10/2024
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