Guaynabo Medical Group, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

GUAYNABO MEDICAL GROUP, LLC

Practice address

140 Ave Las Cumbres Ste 203
Guaynabo, PR 00969-5527

Phone

(787) 523-5767

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Roberto Ramos

Title

Manager

Phone

(305) 905-6565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1356816953",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES STE 203",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695527",
            "telephone_number": "787-523-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAYNABO MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-905-6565"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guaynabo Health Providers, Corp.
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• Guaynabo Health Providers, Corp.
• Guaynabo Optometry Services
• Guaynabo Orthodontics C.P.
• Guaynabo Physical Medicine & Sports Center
• Guaynabo Radiology, LLC
• Guaynabo Vascular Specialists LLC

• General Practice Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 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.

Verify at the official NPI Registry.