Active NPI
Pedro Guzman Tapia
- Clinical Nurse Specialist
- San Juan, PR
National Provider Identifier
1710863527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 4220
- Practice address
- 1001 Ave Ponce de Leon Ste 1
San Juan, PR 00907-3641 - Phone
- (954) 231-5484
- Fax
- (239) 379-4385
- NPI assigned
- Aug 15, 2025
- Last updated
- Aug 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 4220 | PR | Primary |
Addresses
Primary practice location
1001 Ave Ponce de Leon Ste 1
San Juan, PR 00907-3641
Mailing address
1112 Calle Guadalajara
Carolina, PR 00983-1641
Phone (787) 547-0482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4220 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elemental Living Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1710863527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 CALLE GUADALAJARA",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009831641",
"telephone_number": "787-547-0482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 AVE PONCE DE LEON STE 1",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009073641",
"telephone_number": "954-231-5484",
"fax_number": "239-379-4385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN TAPIA",
"first_name": "PEDRO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-15",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "PR",
"license": "4220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.