Organization Active NPI

Cenit Medical Consultants LLC

  • Internal Medicine Physician
  • Humacao, PR
National Provider Identifier
1295579001
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENIT MEDICAL CONSULTANTS LLC
Practice address
Anexo Hospital Ryder, Suite 105, #355 Ave. Font Martelo
Humacao, PR 00791
Phone
(787) 603-3883
NPI assigned
Jun 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Dr. Sasidhar Guthikonda, MDNPI 1851595367
Title
Owner
Phone
(787) 603-3883

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

Anexo Hospital Ryder, Suite 105, #355 Ave. Font Martelo
Humacao, PR 00791

Mailing address

285 Palmas Inn Way, Apt 2-101
Palmanova Village, Palmas del Mar
Humacao, PR 00791
Phone (787) 603-3883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724004359 PR Part B Supplier - Clinic/Group Practice 4284170341 Receives reassigned benefits from 2 practitioners
Practice locations: Humacao, PR

National Provider Directory

National Provider Directory

Locations

355 Calle Font Martelo
Ste 105
Humacao, PR 00791
Phone (787) 603-3883

Practitioners & affiliated clinicians

Practitioners 2

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": "1719273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1295579001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 PALMAS INN WAY, APT 2-101",
            "address_2": "PALMANOVA VILLAGE, PALMAS DEL MAR",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-603-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANEXO HOSPITAL RYDER, SUITE 105, #355 AVE. FONT MARTELO",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-603-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENIT MEDICAL CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "GUTHIKONDA",
        "authorized_official_first_name": "SASIDHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-603-3883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.