Organization Active NPI

Grupo Medico Carolina, LLC

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1093105256
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GRUPO MEDICO CAROLINA, LLC
Practice address
35-21 Calle 16
Villa Carolina
Carolina, PR 00985-5440
Phone
(787) 752-1979
Fax
(787) 998-3656
NPI assigned
Jan 27, 2015
Last updated
Oct 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diogenes O Adames, MDNPI 1427011899
Title
Proprietor/Medical Director
Phone
(787) 550-2467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

35-21 Calle 16
Villa Carolina
Carolina, PR 00985-5440

Mailing address

PO Box 9067
Plaza Carolina Station
Carolina, PR 00988-9067
Phone (787) 752-1979

Other names 1

  • SERVICIOS SALUD MENTAL CAROLINA Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1093105256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9067",
            "address_2": "PLAZA CAROLINA STATION",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889067",
            "telephone_number": "787-752-1979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-21 CALLE 16",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855440",
            "telephone_number": "787-752-1979",
            "fax_number": "787-998-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "ADAMES",
        "authorized_official_first_name": "DIOGENES",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PROPRIETOR/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-550-2467",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SERVICIOS SALUD MENTAL CAROLINA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.