Active NPI
The Good Doctor, LLC
- Health Service Clinic/Center
- Rio Grande, PR
National Provider Identifier
1023717980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- THE GOOD DOCTOR, LLC
- Practice address
- A3 Ave. Perez Andino
Villas de Riogrande
Rio Grande, PR 00745 - Phone
- (787) 888-2302
- NPI assigned
- Mar 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Guillermo Zayas, BBA, BFA
- Title
- Vicepresident Finance
- Phone
- (787) 460-3640
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
A3 Ave. Perez Andino
Villas de Riogrande
Rio Grande, PR 00745
Mailing address
Elma 548
Caparra Heights
San Juan, PR 00920
Phone (787) 460-3640
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677628800000",
"number": "1023717980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ELMA 548",
"address_2": "CAPARRA HEIGHTS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00920",
"telephone_number": "787-460-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A3 AVE. PEREZ ANDINO",
"address_2": "VILLAS DE RIOGRANDE",
"city": "RIO GRANDE",
"state": "PR",
"postal_code": "00745",
"telephone_number": "787-888-2302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE GOOD DOCTOR, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-01",
"last_updated": "2023-03-01",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "ZAYAS",
"authorized_official_first_name": "GUILLERMO",
"authorized_official_title_or_position": "VICEPRESIDENT FINANCE",
"authorized_official_telephone_number": "787-460-3640",
"authorized_official_credential": "BBA, BFA"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.