Organization Active NPI

Guayama Family Practice, LLC

  • Primary Care Clinic/Center
  • Guayama, PR
National Provider Identifier
1184023038
Registry record updated Aug 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
12075 Issued in PR
Legal business name
GUAYAMA FAMILY PRACTICE, LLC
Practice address
42 Calle Palmer S
Guayama, PR 00784-4922
Phone
(787) 866-0725
Fax
(787) 866-0715
NPI assigned
Aug 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2014

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

Authorized official

Name
Dr. David T Sicard Figueroa, M.D.NPI 1639162308
Title
Owner
Phone
(787) 385-7655

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
Primary Care Clinic/Center 261QP2300X 12075 PR Primary

Addresses

Primary practice location

42 Calle Palmer S
Guayama, PR 00784-4922

Mailing address

PO Box 519
Guayama, PR 00785-0519
Phone (787) 866-0725

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150112001552 PR Part B Supplier - Clinic/Group Practice 6406170984 Receives reassigned benefits from 1 practitioner
Practice locations: Guayama, PR

National Provider Directory

National Provider Directory

Locations

42 Calle Santiago Palmer S
Guayama, PR 00784
Phone (787) 866-0725

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": "1408147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408147200000",
    "number": "1184023038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 519",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007850519",
            "telephone_number": "787-866-0725",
            "fax_number": "787-866-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CALLE PALMER S",
            "city": "GUAYAMA",
            "state": "PR",
            "postal_code": "007844922",
            "telephone_number": "787-866-0725",
            "fax_number": "787-866-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYAMA FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-16",
        "last_updated": "2014-08-16",
        "status": "A",
        "authorized_official_last_name": "SICARD FIGUEROA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-385-7655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "12075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guayama, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2014; 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.