NPIMap

Organization Active NPI

Clinica Las Americas Guaynabo, Inc

  • Multi-Specialty Clinic/Center
National Provider Identifier
1679928675
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CLINICA LAS AMERICAS GUAYNABO, INC
Practice address
Ave. Casa Linda 1 Suite 101 Carr 177 Los Filtros
Carr.177 KM.2.0 Los Filtros
Bayamon, PR 00959
UM
Phone
(787) 789-1996
Fax
(787) 789-2180
NPI assigned
Apr 27, 2016
Organization subpart
Yes
Parent organization
CLINICA LAS AMERICAS GUAYNABO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Luis M Martinez
Title
Presidente
Phone
(787) 789-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X PR Primary

Addresses

Primary practice location

Ave. Casa Linda 1 Suite 101 Carr 177 Los Filtros
Carr.177 KM.2.0 Los Filtros
Bayamon, PR 00959
UM

Mailing address

PO Box 7891 PMB 509
Guaynabo, PR 00970-7891
UM
Phone (787) 789-1919

Other names 1

  • SALUS BAYAMON Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000414 PR Part B Supplier - Clinic/Group Practice 3476504077 Receives reassigned benefits from 65 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carolina, PR; San Juan, PR; Ponce, PR; Bayamon, PR

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clinica Las Americas Guaynabo19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1 Ave Casa Linda
Bayamon, PR 00959

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679928675",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PO BOX 7891 PMB 509",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707891",
            "telephone_number": "787-789-1919",
            "fax_number": "787-999-3071"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "AVE. CASA LINDA 1 SUITE 101 CARR 177 LOS FILTROS",
            "address_2": "CARR.177 KM.2.0 LOS FILTROS",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-789-1996",
            "fax_number": "787-789-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS AMERICAS GUAYNABO, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICA LAS AMERICAS GUAYNABO, INC",
        "enumeration_date": "2016-04-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-789-1996"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALUS BAYAMON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.