CDT DR. ENRIQUE KOPPISH NPI 1811101686

NPI Information

  • NPI: 1811101686
  • Provider Name: CDT DR. ENRIQUE KOPPISH
  • Classification: Clinic/Center - 261QP0905X
  • Specialization: Public Health, State or Local
  • Entity Type: Organization
  • CLIA Number: 40D2015472
  • Address: 404 AVE BARBOSA ESQ CALLE SICILIA RIO PIEDRAS
    SAN JUAN, PR
    ZIP 00924
  • Phone: (787) 480-3586

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NPI Details

CDT DR. ENRIQUE KOPPISH is a public health and state or local clinic center in San Juan, PR. CDT DR. ENRIQUE KOPPISH NPI is 1811101686. The provider is registered as an organization entity type.

The provider's business location address is:

404 AVE BARBOSA ESQ CALLE SICILIA RIO PIEDRAS
SAN JUAN, PR
ZIP 00924
Phone: (787) 480-3586

The provider's authorized official is Angeliz Rodriguez .
The authorized official title is Administrator and has the following contact phone number (787) 480-3586.

The CLIA number assigned to this NPI record is 40D2015472 - other - hospital municipal lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 2/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP0905XClinic/CenterPublic Health, State or LocalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1030364OTHERPUERTO RICOCRUZ AZL
29230049OTHERPUERTO RICOHUMANA TODOS
3=========OTHERPUERTO RICOCIGNA EXCLUSIVE
4=========OTHERPUERTO RICOMAPHRE HEALTH MED ADV
56604270EKMEDICAIDPUERTO RICO
6=========OTHERPUERTO RICOAMERICAN HEALTH
7=========OTHERPUERTO RICOCIGNA PREFERRED
81138OTHERPUERTO RICOPROSAM
9=========MEDICAIDPUERTO RICO
106604270EKOTHERPUERTO RICOCOSVI PRIVADO
11700031OTHERPUERTO RICOMMM
12=========OTHERPUERTO RICOMCS LIFE
13N875OTHERPUERTO RICOFIRST MEDICAL
141001051OTHERPUERTO RICOACCA
15=========OTHERPUERTO RICOPAN AMERICAN
16=========OTHERPUERTO RICOGOLDEN CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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