Provider Demographics
NPI:1376938548
Name:NEW HEALTH MED GROUP
Entity Type:Organization
Organization Name:NEW HEALTH MED GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINEIRO
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:7877-012-6126
Mailing Address - Street 1:ITURREGUI PLAZA 65 INFANTERIA
Mailing Address - Street 2:SUITE 217-A
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924
Mailing Address - Country:US
Mailing Address - Phone:787-701-2626
Mailing Address - Fax:787-768-8094
Practice Address - Street 1:ITURREGUI PLAZA 65 INFANTERIA
Practice Address - Street 2:SUITE 217-A
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924
Practice Address - Country:US
Practice Address - Phone:787-701-2626
Practice Address - Fax:787-768-8094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR119681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty