Organization Active NPI

Clinica Las Americas Guaynabo, Inc

Doing business as Centro Radiologico Ponce

  • Mammography Clinic/Center
  • Ponce, PR
National Provider Identifier
1306459409
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
Legal business name
CLINICA LAS AMERICAS GUAYNABO, INC
Doing business as
Centro Radiologico Ponce
Practice address
1825 Calle Navarra Ste 101
Ponce, PR 00716-4614
Phone
(787) 789-1996
NPI assigned
Aug 28, 2020
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CLINICA LAS AMERICAS GUAYNABO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Nury Toledo Nunez
Title
SVP & Strategy Pharmacy
Phone
(787) 789-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X Primary

Addresses

Primary practice location

1825 Calle Navarra Ste 101
Ponce, PR 00716-4614

Mailing address

PO Box 7891
Guaynabo, PR 00970-7891
Phone (787) 789-1996

Other names 1

  • CENTRO RADIOLOGICO PONCE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000414 PR Part B Supplier - Clinic/Group Practice 3476504077 Receives reassigned benefits from 65 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carolina, PR; San Juan, PR; Ponce, PR; Bayamon, PR

Other NPIs on the same Medicare enrollment 11

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

National Provider Directory

National Provider Directory
Part of
Clinica Las Americas de

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1306459409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7891",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707891",
            "telephone_number": "787-789-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CALLE NAVARRA STE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164614",
            "telephone_number": "787-789-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS AMERICAS GUAYNABO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICA LAS AMERICAS GUAYNABO, INC",
        "enumeration_date": "2020-08-28",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "TOLEDO NUNEZ",
        "authorized_official_first_name": "NURY",
        "authorized_official_title_or_position": "SVP & STRATEGY PHARMACY",
        "authorized_official_telephone_number": "787-789-1996"
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO RADIOLOGICO PONCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRO RADIOLOGICO PONCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.