Guaynabo Ambulatory Surgical Group, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GUAYNABO AMBULATORY SURGICAL GROUP, INC

Practice address

Carr 165 # KM1
Suite 1010 City View Plaza II
Guaynabo, PR 00968-8047

Phone

(787) 775-2020

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Angie L. Jimenez, MPHE

Title

Business Office Manager

Phone

(787) 522-2825

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Listed as

Guaynabo Ambulatory Surgical Group IncCCN 40C0001026

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 1

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

• Noel Perez, MD

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • San Juan, PR
  • NPI 1841209467
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1184871485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CITY VIEW PLAZA LOBBY SUITE 1010 TORRE II",
            "address_2": "CARR. 165 KM 1.2 #48",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00968",
            "telephone_number": "787-775-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 # KM1",
            "address_2": "SUITE 1010 CITY VIEW PLAZA II",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-775-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYNABO AMBULATORY SURGICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "787-522-2825",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPHE"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gsprofessionals, LLC
• Hector Guadalupe Rivera, 1763P
• Murray Guadalupe Rosario, 0041B
• Marcos Guardarrama Ortiz, 0149B
• Marie Nellie Guardia, RPH
• Guaynabo Dental Care
• Guaynabo Emergency Medicine, LLC
• Guaynabo Endocrinology Center P.S.C.
• Guaynabo Eye & Ear Group
• Guaynabo Eye & Ear Group PSC

• Ambulatory Surgical Clinic/Center in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Ambulatory Surgical Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.