NPIMap

Organization Active NPI

Puerto Rico Case Management Corp.

  • Multi-Specialty Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1225865967
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PUERTO RICO CASE MANAGEMENT CORP.
Practice address
Avenida Las Cumbres 140 Guaynabo PR 00969
Guaynabo, PR 00969
Phone
(787) 358-0381
NPI assigned
Sep 17, 2024
Organization subpart
Yes
Parent organization
GRUPO MEDICO GUAYNABO MEDICAL MALLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

Avenida Las Cumbres 140 Guaynabo PR 00969
Guaynabo, PR 00969

Mailing address

Calle Juan C Borbon 35 Ste 67-320
Guaynabo, PR 00969-5523

Other names 1

  • Grupo Medico Guaynabo Medical Mall Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241120004480 PR Part B Supplier - Clinic/Group Practice 4587199005 Receives reassigned benefits from 4 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Guaynabo, PR

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Practitioners & affiliated clinicians

Practitioners 3

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": "1726531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1225865967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE JUAN C BORBON 35 STE 67-320",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVENIDA LAS CUMBRES 140 GUAYNABO PR 00969",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-358-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO CASE MANAGEMENT CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRUPO MEDICO GUAYNABO MEDICAL MALL",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "BENITEZ",
        "authorized_official_first_name": "GISSELLE",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-358-0381",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grupo Medico Guaynabo Medical Mall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grupo Medico Guaynabo Medical Mall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 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.