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Contact Information

CDT DR. ENRIQUE KOPPISH
404 AVE BARBOSA ESQ CALLE SICILIA RIO PIEDRAS
SAN JUAN, PR00924
 Phone: 787-480-3586
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for CDT DR. ENRIQUE KOPPISH

NPI Number 1811101686
LBN Legal business name CDT DR. ENRIQUE KOPPISH
Authorized official ANGELIZ RODRIGUEZ - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2007
Last updated 02/27/2024 - About 2 years ago
Identifiers
PR Medicaid =========
PR Medicaid 6604270EK
PR Other 1001051 ACCA
PR Other ========= AMERICAN HEALTH
PR Other ========= CIGNA EXCLUSIVE
PR Other ========= CIGNA PREFERRED
PR Other 6604270EK COSVI PRIVADO
PR Other 030364 CRUZ AZL
PR Other N875 FIRST MEDICAL
PR Other ========= GOLDEN CROSS
PR Other 9230049 HUMANA TODOS
PR Other ========= MAPHRE HEALTH MED ADV
PR Other ========= MCS LIFE
PR Other 700031 MMM
PR Other ========= PAN AMERICAN
PR Other 1138 PROSAM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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