NPIMap

Organization Active NPI

PR Healthcare Management Group

  • Emergency Care Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1780940924
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
PR HEALTHCARE MANAGEMENT GROUP
Practice address
B13 Calle B
Urb Las Villas Townhouses
Guaynabo, PR 00969-3261
Phone
(787) 637-6274
Fax
(787) 874-3125
NPI assigned
Apr 2, 2012
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Dr. Harry E Negron, MD
Title
Principal
Phone
(787) 637-6274

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246X00000X PR
Emergency Care Clinic/Center 261QE0002X Primary
Health Service Clinic/Center 261QH0100X PR
Radiology Clinic/Center 261QR0200X PR

Addresses

Primary practice location

B13 Calle B
Urb Las Villas Townhouses
Guaynabo, PR 00969-3261

Mailing address

B13 Calle B
Urb Las Villas Townhouses
Guaynabo, PR 00969-3261
Phone (787) 637-6274

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130705000067 PR Part B Supplier - Clinic/Group Practice 5294975793 Receives reassigned benefits from 25 practitioners
Practice locations: Naguabo, PR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Naguabo Medical Mall6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1780940924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "B13 CALLE B",
            "address_2": "URB LAS VILLAS TOWNHOUSES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693261",
            "telephone_number": "787-637-6274",
            "fax_number": "787-874-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B13 CALLE B",
            "address_2": "URB LAS VILLAS TOWNHOUSES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693261",
            "telephone_number": "787-637-6274",
            "fax_number": "787-874-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR HEALTHCARE MANAGEMENT GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "NEGRON",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "787-637-6274",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "PR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.