Individual provider Active NPI

Pedro Guzman Tapia

  • Clinical Nurse Specialist
  • San Juan, PR
National Provider Identifier
1710863527
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
4220 Issued in PR
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4220PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Elemental Living Inc PastSince Aug 17, 2025 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.

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.

Verify at the official NPI Registry.