NPIMap

Organization Active NPI

Galenos Selectos de Puerto Rico, Inc.

  • Clinic/Center
  • Ponce, PR
National Provider Identifier
1679876718
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
11B2134 Issued in PR
Legal business name
GALENOS SELECTOS DE PUERTO RICO, INC.
Practice address
Plazoleta Ponce Cash and Carry Morell Campos
Local 4
Ponce, PR 00732
Phone
(787) 284-1566
Fax
(787) 290-6689
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Authorized official

Name
Dr. Efrain Diego Gonzalez, M.D.
Title
President
Phone
(916) 990-4204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11B2134 PR Primary

Addresses

Primary practice location

Plazoleta Ponce Cash and Carry Morell Campos
Local 4
Ponce, PR 00732

Mailing address

PMB 261 Box 7105
Ponce, PUERTO RICO 00732
UM
Phone (787) 284-1566

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1679876718",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PMB 261 BOX 7105",
            "city": "PONCE",
            "state": "PUERTO RICO",
            "postal_code": "00732",
            "telephone_number": "787-284-1566",
            "fax_number": "787-290-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZOLETA PONCE CASH AND CARRY MORELL CAMPOS",
            "address_2": "LOCAL 4",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00732",
            "telephone_number": "787-284-1566",
            "fax_number": "787-290-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALENOS SELECTOS DE PUERTO RICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_middle_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-990-4204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PR",
            "license": "11B2134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.