NPIMap

Organization Active NPI

Clinica Las Americas Guaynabo, Inc

Doing business as Centro Preventivo Hato Rey

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • San Juan, PR
National Provider Identifier
1366053845
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
Legal business name
CLINICA LAS AMERICAS GUAYNABO, INC
Doing business as
Centro Preventivo Hato Rey
Practice address
400 Ave Franklin D Roosevelt Ste 103
San Juan, PR 00918-2129
Phone
(787) 789-1996
NPI assigned
Aug 10, 2020
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

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
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X Primary

Addresses

Primary practice location

400 Ave Franklin D Roosevelt Ste 103
San Juan, PR 00918-2129

Mailing address

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

Other names 1

  • CENTRO PREVENTIVO HATO REY 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
Tax ID family
Clinica Las Americas de19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

49 Carr 172
Caguas, PR 00727

Practitioners & affiliated clinicians

Practitioners 65

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.

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1366053845",
    "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": "400 AVE FRANKLIN D ROOSEVELT STE 103",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009182129",
            "telephone_number": "787-789-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS AMERICAS GUAYNABO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "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": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO PREVENTIVO HATO REY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRO PREVENTIVO HATO REY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, 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.