NPIMap

Organization Active NPI

PR Healthcare Management Group

Doing business as Naguabo Medical Mall

  • Radiology Clinic/Center
  • Naguabo, PR
National Provider Identifier
1558818484
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
57686 Issued in PR
Legal business name
PR HEALTHCARE MANAGEMENT GROUP
Doing business as
Naguabo Medical Mall
Practice address
Carr 31 KM. 4.0
Naguabo, PR 00718
Phone
(787) 874-3125
NPI assigned
Sep 8, 2016
Last updated
Sep 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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) 637-6274

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 57686 PR Primary

Addresses

Primary practice location

Carr 31 KM. 4.0
Naguabo, PR 00718

Mailing address

PO Box 2598
Guaynabo, PR 00970-2598
Phone (787) 637-6274

Other identifiers 1

IdentifierTypeStateIssuer
HH671AOtherPRPTAN

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": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1558818484",
    "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": "787-637-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 31 KM. 4.0",
            "city": "NAGUABO",
            "state": "PR",
            "postal_code": "00718",
            "telephone_number": "787-874-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR HEALTHCARE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "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": "787-637-6274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "57686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HH671A",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "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 8, 2016; 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.