Active NPI
Pro Clinic Health, PSC
- Public Health & General Preventive Medicine Physician
- Guaynabo, PR
National Provider Identifier
1235621012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- Legal business name
- PRO CLINIC HEALTH, PSC
- Practice address
- 8 Avenida Las Cumbres KM 1.2
Guaynabo, PR 00970 - Phone
- (787) 552-5520
- NPI assigned
- Jun 6, 2018
- 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
- Luis Raul Forti Isales, MD
- Title
- President
- Phone
- (787) 552-5520
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | Primary |
Addresses
Primary practice location
8 Avenida Las Cumbres KM 1.2
Guaynabo, PR 00970
Mailing address
8 Ave Las Cumbres # KM 1/2
Guaynabo, PR 00969-4818
National Provider Directory
National Provider DirectoryLocations
8 Ave Las Cumbres
#12
Guaynabo, PR 00969
Phone (787) 552-5520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528243200000",
"number": "1235621012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 AVE LAS CUMBRES # KM 1/2",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "009694818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 AVENIDA LAS CUMBRES KM 1.2",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00970",
"telephone_number": "787-552-5520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRO CLINIC HEALTH, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-06",
"last_updated": "2018-06-06",
"status": "A",
"authorized_official_last_name": "FORTI ISALES",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "RAUL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-552-5520",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
- Manuel R Prats Vega, M.D.
- Pre Health LLC
- Premier Health Services Corp
- Prescription Health Resources of Puerto Rico LLC (Prescription Health Resources of Puerto Rico)
- Prime Otolaryngology Services, PSC
- Pro Sleep, LLC
- Professional Hospital Guaynabo Inc
- Professional Hospital Guaynabo Inc
- Professional Skill Services PSC
- Professional Urologic Consultants PSC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.