NPIMap

Organization Active NPI

Clinica Las Americas Guaynabo, Inc

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Carolina, PR
National Provider Identifier
1104347491
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
CLINICA LAS AMERICAS GUAYNABO, INC
Practice address
Carr. 190 KM1.8
Barrio Sabana Abajo
Carolina, PR 00983-7401
Phone
(787) 789-1996
Fax
(787) 789-2180
NPI assigned
Jun 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Nury Toledo Nunez
Title
SVP & Strategy Pharmacy
Phone
(787) 789-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X PR Primary

Addresses

Primary practice location

Carr. 190 KM1.8
Barrio Sabana Abajo
Carolina, PR 00983-7401

Mailing address

PO Box 2010
Carolina, PR 00984-2010
Phone (787) 789-1919

Other identifiers 1

IdentifierTypeStateIssuer
4035918OtherPRPREVENTIVE PROGRAM AT ANOTHER LOCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000414 PR Part B Supplier - Clinic/Group Practice 3476504077 Receives reassigned benefits from 65 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carolina, PR; San Juan, PR; Ponce, PR; Bayamon, PR

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clinica Las Americas Guaynabo19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

400 Ave Franklin D Roosevelt
Ste 101
San Juan, PR 00918
Phone (809) 765-7713

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1104347491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2010",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009842010",
            "telephone_number": "787-789-1919",
            "fax_number": "787-789-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 190 KM1.8",
            "address_2": "BARRIO SABANA ABAJO",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009837401",
            "telephone_number": "787-789-1996",
            "fax_number": "787-789-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS AMERICAS GUAYNABO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "TOLEDO NUNEZ",
        "authorized_official_first_name": "NURY",
        "authorized_official_title_or_position": "SVP & STRATEGY PHARMACY",
        "authorized_official_telephone_number": "787-789-1996"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREVENTIVE PROGRAM AT ANOTHER LOCATION",
            "identifier": "4035918",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.