Organization Active NPI

Nexus Medical Group LLC

  • General Practice Physician
  • Guaynabo, PR
National Provider Identifier
1235046616
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NEXUS MEDICAL GROUP LLC
Practice address
Ave Albolote #2 Cond Plaza Real Shopping Center
Bo Frailes
Guaynabo, PR 00969
Phone
(787) 539-4145
NPI assigned
Aug 24, 2026
Last updated
Aug 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Kevin Giovanni Nieves
Title
Administrador
Phone
(787) 410-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

Ave Albolote #2 Cond Plaza Real Shopping Center
Bo Frailes
Guaynabo, PR 00969

Mailing address

Ave Albolote #2 Cond Plaza Real Shopping Center
Bo Frailes
Guaynabo, PR 00969
Phone (787) 539-4145

National Provider Directory

National Provider Directory

Locations

2 Ave Albolote
Guaynabo, PR 00969

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1235046616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE ALBOLOTE #2 COND PLAZA REAL SHOPPING CENTER",
            "address_2": "BO FRAILES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-539-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ALBOLOTE #2 COND PLAZA REAL SHOPPING CENTER",
            "address_2": "BO FRAILES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-539-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "GIOVANNI",
        "authorized_official_title_or_position": "ADMINISTRADOR",
        "authorized_official_telephone_number": "787-410-0566"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.