Active NPI
Guaynabo Endocrinology Center P.S.C.
- Endocrinology, Diabetes & Metabolism Physician
- Guaynabo, PR
National Provider Identifier
1205461092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- GUAYNABO ENDOCRINOLOGY CENTER P.S.C.
- Practice address
- 136 Calle Carazo
Guaynabo, PR 00969-6412 - Phone
- (787) 708-6200
- Fax
- (787) 708-6228
- NPI assigned
- Mar 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Enrique Raul Maldonado Corchado, MD
- Title
- MD
- Phone
- (787) 708-6200
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
136 Calle Carazo
Guaynabo, PR 00969-6412
Mailing address
PO Box 3972
Guaynabo, PR 00970-3972
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
136 Calle Carazo
Ste 3
Guaynabo, PR 00969
Phone (787) 414-9722
136 Calle Carazo
Guaynabo, PR 00969
Phone (787) 708-6200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Endocrinology, Diabetes & Metabolism Physician
- Guaynabo, PR
- NPI 1972873792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701820800000",
"number": "1205461092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3972",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009703972",
"fax_number": "787-708-6228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 CALLE CARAZO",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009696412",
"telephone_number": "787-708-6200",
"fax_number": "787-708-6228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUAYNABO ENDOCRINOLOGY CENTER P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-11",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A",
"authorized_official_last_name": "MALDONADO CORCHADO",
"authorized_official_first_name": "ENRIQUE",
"authorized_official_middle_name": "RAUL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "787-708-6200",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Marcos Guardarrama Ortiz, 0149B
- Marie Nellie Guardia, RPH
- Guaynabo Ambulatory Surgical Group, Inc
- Guaynabo Dental Care
- Guaynabo Emergency Medicine, LLC (Guaynabo ER)
- Guaynabo Eye & Ear Group
- Guaynabo Eye & Ear Group PSC
- Guaynabo Geriatric Clinic
- Guaynabo Gynecological Clinic
- Guaynabo Health Providers, Corp.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.