PR Healthcare Management Group

Organization Active NPI Emergency Care Clinic/Center · Guaynabo, PR

NPI 1780940924 · NPPES record last updated Apr 22, 2013

Key facts

NPI
1780940924
Entity type
Organization (NPI type 2)
Primary specialty
Emergency Care Clinic/Center 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
Organization subpart
No

Authorized official

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

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 5

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

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PR

Medicare enrollment records

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

National Provider Directory

Tax ID family
Naguabo Medical Mall (6 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
246X00000X PR
Emergency Care Clinic/Center 261QE0002X Yes
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

Other providers in Guaynabo, PR

All providers in Guaynabo, PR · Emergency Care Clinic/Center in Puerto Rico

Sources for this page

Verify at the official NPI Registry.