Organization Active NPI

Clinica Integrativa de Medicina Y Acupuntura LLC

  • Family Medicine Physician
  • Bayamon, PR
National Provider Identifier
1174310338
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLINICA INTEGRATIVA DE MEDICINA Y ACUPUNTURA LLC
Practice address
68 CLL Santa Cruz, Ste 504
Torre San Pablo
Bayamon, PR 00961
Phone
(787) 225-7416
NPI assigned
Apr 22, 2025
Last updated
Apr 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Carlos Rached RichaNPI 1215680509
Title
Owner
Phone
(787) 225-7416

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

68 CLL Santa Cruz, Ste 504
Torre San Pablo
Bayamon, PR 00961

Mailing address

J6 Ave San Patricio Apt 16E
Guaynabo, PR 00968-4426
Phone (787) 225-7416

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250520004095 PR Part B Supplier - Clinic/Group Practice 9335667542 Receives reassigned benefits from 1 practitioner
Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory

Locations

68 Calle Santa Cruz
Ste 504
Bayamon, PR 00961
Phone (787) 225-7416

Practitioners & affiliated clinicians

Practitioners 1

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": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1174310338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J6 AVE SAN PATRICIO APT 16E",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009684426",
            "telephone_number": "787-225-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CLL SANTA CRUZ, STE 504",
            "address_2": "TORRE SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-225-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA INTEGRATIVA DE MEDICINA Y ACUPUNTURA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "RACHED RICHA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-225-7416"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.