Healthcare Provider Details

I. General information

NPI: 1316167661
Provider Name (Legal Business Name): HPM FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 AVE BORINQUEN
SAN JUAN PR
00915-3822
US

IV. Provider business mailing address

PO BOX 14457
SAN JUAN PR
00916-4457
US

V. Phone/Fax

Practice location:
  • Phone: 787-268-4171
  • Fax: 787-919-3956
Mailing address:
  • Phone: 787-268-1714
  • Fax: 787-919-3956

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: IVONNE RIVERA
Title or Position: CEO
Credential:
Phone: 787-268-4171