Provider Demographics
NPI:1477191096
Name:HPM FOUNDATION INC
Entity Type:Organization
Organization Name:HPM FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MIGDALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ BURGOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-268-4171
Mailing Address - Street 1:2414 TODD STREET FLATWOODS
Mailing Address - Street 2:
Mailing Address - City:FLATWOODS
Mailing Address - State:KY
Mailing Address - Zip Code:41139
Mailing Address - Country:US
Mailing Address - Phone:606-547-5936
Mailing Address - Fax:
Practice Address - Street 1:AVENIDA PONCE DE LEON
Practice Address - Street 2:121 NUM COMUNIDAD BARRIO AMELIA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00965
Practice Address - Country:US
Practice Address - Phone:787-268-4171
Practice Address - Fax:787-919-3956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-13
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty