Clinica Guadalupe, Corp.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

HCC12895

Legal business name

CLINICA GUADALUPE, CORP.

Doing business as

Clinica Guadalupe

Practice address

5475 Golden Gate Pkwy Ste 5W
Naples, FL 34116-7529

Phone

(239) 315-4821

Fax

(239) 315-4824

NPI assigned

May 14, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Belkis A Alvarez

Title

Administrator

Phone

(786) 344-8916

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clinica Guadalupe Doing business as

Locations

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526256000000",
    "number": "1700376993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19050 SW 194TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331871945",
            "telephone_number": "786-344-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5475 GOLDEN GATE PKWY STE 5W",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341167529",
            "telephone_number": "239-315-4821",
            "fax_number": "239-315-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA GUADALUPE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-14",
        "last_updated": "2018-05-14",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "BELKIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-344-8916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": "HCC12895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Guadalupe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen Ann Clements, OTR
• Stacy Nicole Clemmons, APRN
• James A Clinard
• Clinic la Vida Is Beautiful LLC
• Clinica 'Los Angeles'
• Sarah Clinkscales
• Clinton J Potter MD PA (Advanced Individualized Medicine of Naples)
• Kristina Clinton, DPT
• Nancy Jean Clouse King, CRNA
• Cna Homecare Network LLC

• Primary Care Clinic/Center in Naples, FL
• Providers in Naples, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.