Pga Consulting Group

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332BC3200X Issued in PR

Legal business name

PGA CONSULTING GROUP

Doing business as

GT Medical Diabetes

Practice address

13 Camino Los Baez Apt 802
Guaynabo, PR 00971-9636

Phone

(787) 636-6189

NPI assigned

Dec 18, 2012

Organization subpart

Yes

Parent organization

GT MEDICAL DIABETESAs reported in NPPES

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

Authorized official

Name

Ms. Aida Iris Tapia

Title

Vice President

Phone

(787) 636-6189

Specialties & licenses 1

Addresses

Other names 1

• GT Medical Diabetes Doing business as

Part of

Pga Consulting Group

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

{
    "created_epoch": "1355788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1487990545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 6 BOX 11167",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-636-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 CAMINO LOS BAEZ APT 802",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009719636",
            "telephone_number": "787-636-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PGA CONSULTING GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GT MEDICAL DIABETES",
        "enumeration_date": "2012-12-18",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "TAPIA",
        "authorized_official_first_name": "AIDA",
        "authorized_official_middle_name": "IRIS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-636-6189",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PR",
            "license": "332BC3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GT Medical Diabetes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Customized Equipment (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.