Healthcare Provider Details

I. General information

NPI: 1598680126
Provider Name (Legal Business Name): HEALTH WATCH RPM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SS4 BLOCK 10, LOT 21 SAGE ST., LANCASTER ESTATES, BRGY
GEN. TRIAS CAVITE
004107
PH

IV. Provider business mailing address

98 CUTTERMILL ROAD STE 466
GREAT NECK NY
11021-3019
US

V. Phone/Fax

Practice location:
  • Phone:
  • Fax:
Mailing address:
  • Phone: 845-557-7305
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DICK-ROMA SANTOS OPULENCIA
Title or Position: PRESIDENT
Credential:
Phone: 845-557-7305