Grupo Medico Policlinica la Familia

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

012446 Issued in PR

Legal business name

GRUPO MEDICO POLICLINICA LA FAMILIA

Practice address

G21 Calle 10
Villa Matilde
Toa Alta, PR 00953-2322

Phone

(787) 870-7121

Fax

(787) 870-6382

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Itza D Chevres

Title

Executive Director

Phone

(787) 870-7121

Specialties & licenses 3

Addresses

Other identifiers 3

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224633600000",
    "number": "1720230626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 867",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009540867",
            "telephone_number": "787-870-7121",
            "fax_number": "787-870-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G21 CALLE 10",
            "address_2": "VILLA MATILDE",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009532322",
            "telephone_number": "787-870-7121",
            "fax_number": "787-870-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO POLICLINICA LA FAMILIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A",
        "authorized_official_last_name": "CHEVRES",
        "authorized_official_first_name": "ITZA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-870-7121",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "9462",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "2532",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": "012446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669413720",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588751481",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205814761",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Gonzalez, M.D
• Yaritza Gonzalez
• Yarelis Goveo, THL
• Great Smiles LLC
• Grupo Medico del Toa
• Lilliam I Guadalupe, MSW
• Ivania Ivette Guilloty, MS
• Lisamar Rolon Guzman, MT
• Health Utility Managed Care LLC
• Hector Rasco Almeida PSC

• Radiology Clinic/Center in Toa Alta, PR
• Providers in Toa Alta, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.