Galeno'S Medical Network LLC

Organization Active NPI General Practice Physician · Manati, PR

NPI 1124594858 · NPPES record last updated Oct 20, 2018

Key facts

NPI
1124594858
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
Legal business name
GALENO'S MEDICAL NETWORK LLC
Practice address
B24 Calle 3
Manati, PR 00674-5409
Phone
(787) 884-3065
Fax
(787) 854-1687
NPI assigned
Oct 20, 2018
Organization subpart
No

Authorized official

Name
Dr. Victor L Delgado Colon, MD
Title
President
Phone
(787) 884-3065

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X
General Practice Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208D00000X Yes

Addresses

Primary practice location

B24 Calle 3
Manati, PR 00674-5409

Mailing address

PO Box 77
Manati, PR 00674-0077
Phone (787) 884-3065

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2018.

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539993600000",
    "number": "1124594858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740077",
            "telephone_number": "787-884-3065",
            "fax_number": "787-854-1687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B24 CALLE 3",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745409",
            "telephone_number": "787-884-3065",
            "fax_number": "787-854-1687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALENO'S MEDICAL NETWORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-20",
        "last_updated": "2018-10-20",
        "status": "A",
        "authorized_official_last_name": "DELGADO COLON",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-3065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

All providers in Manati, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.