NPIMap

Organization Active NPI

Provider Network Solutions of Puerto Rico LLC

  • Corporate Health Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1316548845
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corporate Health Clinic/CenterTaxonomy code 261QC1800X
Legal business name
PROVIDER NETWORK SOLUTIONS OF PUERTO RICO LLC
Practice address
140 Ave. Las Cumbres Carr 199 Guaynabo Medical Mall
Guaynabo, PR 00966
Phone
(787) 523-5777
NPI assigned
Nov 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Authorized official

Name
Mr. Nardy Delgado
Title
Coo
Phone
(787) 523-5767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corporate Health Clinic/Center 261QC1800X Primary

Addresses

Primary practice location

140 Ave. Las Cumbres Carr 199 Guaynabo Medical Mall
Guaynabo, PR 00966

Mailing address

PO Box 195615
San Juan, PR 00919-5615
Phone (787) 523-5767

Other names 1

  • IHS of Guaynabo- Preventive Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinical Group - IHS of Guaynabo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

140 Ave Las Cumbres
#199
Guaynabo, PR 00969
Phone (787) 523-5777

NPI Registry JSON

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604275200000",
    "number": "1316548845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195615",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195615",
            "telephone_number": "787-523-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE. LAS CUMBRES CARR 199 GUAYNABO MEDICAL MALL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00966",
            "telephone_number": "787-523-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER NETWORK SOLUTIONS OF PUERTO RICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-02",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "NARDY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "787-523-5767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IHS of Guaynabo- Preventive Clinics",
            "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 2, 2020; 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.