Organization Active NPI

Accountable Care Group of Puerto Rico LLC

  • Case Manager/Care Coordinator
  • Carolina, PR
National Provider Identifier
1669838454
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ACCOUNTABLE CARE GROUP OF PUERTO RICO LLC
Practice address
M11 Calle 16
Castellana Gardens
Carolina, PR 00983-1933
Phone
(787) 407-3411
NPI assigned
Jan 8, 2016
Last updated
Jan 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Iris Clemente
Title
Rep Administration
Phone
(787) 407-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

M11 Calle 16
Castellana Gardens
Carolina, PR 00983-1933

Mailing address

PO Box 8445
Caguas, PR 00726-8445

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1669838454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8445",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "M11 CALLE 16",
            "address_2": "CASTELLANA GARDENS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009831933",
            "telephone_number": "787-407-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCOUNTABLE CARE GROUP OF PUERTO RICO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-08",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "IRIS",
        "authorized_official_title_or_position": "REP ADMINISTRATION",
        "authorized_official_telephone_number": "787-407-3411"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

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