NPIMap

Organization Active NPI

PR Healthcare Management Group

Doing business as Naguabo Medical Mall

  • Multi-Specialty Clinic/Center
  • Naguabo, PR
National Provider Identifier
1417430307
Registry record updated Sep 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
32 Issued in PR
Legal business name
PR HEALTHCARE MANAGEMENT GROUP
Doing business as
Naguabo Medical Mall
Practice address
PR31 KM 4.0
Naguabo, PR 00718
Phone
(787) 874-1825
Fax
(787) 874-3125
NPI assigned
Sep 7, 2018
Last updated
Sep 7, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2018

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

Authorized official

Name
Dr. Harry Emilio Negron Judice, MDNPI 1962600791
Title
President
Phone
(787) 874-1825

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 32 PR Primary
Primary Care Clinic/Center 261QP2300X 32 PR

Addresses

Primary practice location

PR31 KM 4.0
Naguabo, PR 00718

Mailing address

PO Box 2598
Guaynabo, PR 00970-2598
Phone (787) 874-1825

Other identifiers 1

IdentifierTypeStateIssuer
HH-671AOtherPRPTAN

Other names 1

  • Naguabo Medical Mall Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Naguabo Medical Mall6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536278400000",
    "number": "1417430307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2598",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009702598",
            "telephone_number": "787-874-1825",
            "fax_number": "787-874-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PR31 KM 4.0",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-874-1825",
            "fax_number": "787-874-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR HEALTHCARE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A",
        "authorized_official_last_name": "NEGRON JUDICE",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "EMILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-874-1825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "32",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "32",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HH-671A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naguabo Medical Mall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Naguabo Medical Mall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naguabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.