CDT DR. ENRIQUE KOPPISH – NPI #1811101686
Clinic/Center

CDT DR. ENRIQUE KOPPISH is an AHC clinic located in SAN JUAN, PR. NPPES has assigned the NPI number 1811101686 to CDT DR. ENRIQUE KOPPISH on May 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP0905X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Public Health, State or Local

The NPI profile was previously updated about 2 years ago on Feb 27, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CDT DR. ENRIQUE KOPPISH below.

NPI Profile for
CDT DR. ENRIQUE KOPPISH

NPI Number
1811101686
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CDT DR. ENRIQUE KOPPISH
Primary location
404 AVE BARBOSA ESQ CALLE SICILIA RIO PIEDRAS
SAN JUAN, PR 00924
Phone: (787) 480-3586 Fax:
Mailing address
PO BOX 21405
SAN JUAN, PR 00928-1405
Phone: (787) 480-3876 Fax: (787) 758-9962
Organization Subpart
No
Authorized Official
ANGELIZ RODRIGUEZ
ADMINISTRATOR
Phone: (787) 480-3586
Updated
Certification Date
Feb 27, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CDT DR. ENRIQUE KOPPISH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherACCAPR1001051
otherAMERICAN HEALTHPR=========
otherCIGNA EXCLUSIVEPR=========
otherCIGNA PREFERREDPR=========
otherCOSVI PRIVADOPR6604270EK
otherCRUZ AZLPR030364
otherFIRST MEDICALPRN875
otherGOLDEN CROSSPR=========
otherHUMANA TODOSPR9230049
otherMAPHRE HEALTH MED ADVPR=========
otherMCS LIFEPR=========
otherMMMPR700031
otherPAN AMERICANPR=========
otherPROSAMPR1138
medicaidPR=========
medicaidPR6604270EK
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP0905X
- Clinic/Center / Public Health, State or Local (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.