Active NPI
Juanita Guadalupe, M.D.
- Pediatric Adolescent Medicine Physician
- Caguas, PR
National Provider Identifier
1376740076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 6146
- Practice address
- O20 Ave L Munoz Marin
Urb. Villa Carmen
Caguas, PR 00725-6162 - Phone
- (787) 743-1080
- Fax
- (787) 747-5759
- NPI assigned
- Jun 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 6146 | PR | Primary |
Addresses
Primary practice location
O20 Ave L Munoz Marin
Urb. Villa Carmen
Caguas, PR 00725-6162
Mailing address
O20 Ave L Munoz Marin
Urb. Villa Carmen
Caguas, PR 00725-6162
Phone (787) 743-1080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6146 | Other | PR | PERMANENT M.D. LICENSE PR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6146 | PR | MD | Pediatric Adolescent Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376740076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "O20 AVE L MUNOZ MARIN",
"address_2": "URB. VILLA CARMEN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256162",
"telephone_number": "787-743-1080",
"fax_number": "787-747-5759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "O20 AVE L MUNOZ MARIN",
"address_2": "URB. VILLA CARMEN",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007256162",
"telephone_number": "787-743-1080",
"fax_number": "787-747-5759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUADALUPE",
"first_name": "JUANITA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PR",
"license": "6146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERMANENT M.D. LICENSE PR",
"identifier": "6146",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.