Organization Active NPI

DGF Healthcare Consulting Group Limited Liability Corporation

  • Clinic/Center
  • San Juan, PR
National Provider Identifier
1528652633
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DGF HEALTHCARE CONSULTING GROUP LIMITED LIABILITY CORPORATION
Doing business as
DGF HEALTHCARE
Practice address
157 Calle de la Luna
San Juan, PR 00901-1321
Phone
(787) 438-0148
NPI assigned
Mar 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Daneris Fernandez
Title
Presisdent
Phone
(787) 438-0148

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Prevention ProfessionalGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 405300000X

Addresses

Primary practice location

157 Calle de la Luna
San Juan, PR 00901-1321

Mailing address

19 Calle Glorimar
San Juan, PR 00926-5325
Phone (787) 438-0148

Other names 1

  • DGF HEALTHCARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210604001925 PR Part B Supplier - Mass Immunization (Roster Biller Only) 3870992233 Practice locations: San Juan, PR

National Provider Directory

National Provider Directory

Locations

157 Calle de la Luna
San Juan, PR 00901
Phone (787) 438-0148

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1528652633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 CALLE GLORIMAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265325",
            "telephone_number": "787-438-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 CALLE DE LA LUNA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009011321",
            "telephone_number": "787-438-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DGF HEALTHCARE CONSULTING GROUP LIMITED LIABILITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "DANERIS",
        "authorized_official_title_or_position": "PRESISDENT",
        "authorized_official_telephone_number": "787-438-0148"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DGF HEALTHCARE",
            "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 23, 2021; 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.