NPIMap

Organization Active NPI

Puerto Rico Case Manegement Corp

  • Clinical Medical Laboratory
  • Guaynabo, PR
National Provider Identifier
1194575316
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PUERTO RICO CASE MANEGEMENT CORP
Practice address
140 Avenida Las Cumbres Guaynabo Medical Mall
Guaynabo, PR 00969
Phone
(787) 358-0381
NPI assigned
Mar 22, 2024
Organization subpart
Yes
Parent organization
PUERTO RICO CASE MANEGEMENT CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Gisselle M Benitez, MHSA
Title
Administrator
Phone
(787) 358-0381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

140 Avenida Las Cumbres Guaynabo Medical Mall
Guaynabo, PR 00969

Mailing address

540 Carr 169 Apt 1006 Balcones de Guaynabo
Guaynabo, PR 00969
Phone (787) 358-0381

Other names 1

  • Puerto Rico Case Management Corp/CDT Guaynabo Laboratorio Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250107004247 PR Part B Supplier - Independent Clinical Laboratory 4587199005 Practice locations: Guaynabo, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Puerto Rico Case Manegement5 organizations share this tax ID, including this one
Part of
Puerto Rico Case Manegement

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

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": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1194575316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CARR 169 APT 1006 BALCONES DE GUAYNABO",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-358-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVENIDA LAS CUMBRES GUAYNABO MEDICAL MALL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-358-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO CASE MANEGEMENT CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PUERTO RICO CASE MANEGEMENT CORP",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "GISSELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-358-0381",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puerto Rico Case Management Corp/CDT Guaynabo Laboratorio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.