Active NPI
Go Med LLC
- Primary Care Clinic/Center
- Humacao, PR
National Provider Identifier
1376386334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- GO MED LLC
- Practice address
- 2 Calle Ramon Gomez S
Humacao, PR 00791-4532 - Phone
- (787) 852-4343
- Fax
- (787) 285-6559
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Manuel Antonio Guzman, MD
- Title
- President
- Phone
- (787) 585-7095
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2 Calle Ramon Gomez S
Humacao, PR 00791-4532
Mailing address
107 Fairway Dr
Humacao, PR 00791-6021
Phone (787) 585-7095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2 Calle Ramon Gomez S
Humacao, PR 00791
Phone (787) 852-4343
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Humacao, PR
- NPI 1184678948
-
- General Practice Physician
- Humacao, PR
- NPI 1972531911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1376386334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 FAIRWAY DR",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007916021",
"telephone_number": "787-585-7095",
"fax_number": "787-285-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 CALLE RAMON GOMEZ S",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007914532",
"telephone_number": "787-852-4343",
"fax_number": "787-285-6559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GO MED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "GUZMAN",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "ANTONIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-585-7095",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"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 Jun 17, 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.