Active NPI
Clinica Yaguez Inc
Doing business as Pavia Health Clinic Guanica
- Emergency Medical Services (Emergency Medicine) Physician
- Guanica, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- Legal business name
- CLINICA YAGUEZ INC
- Doing business as
- Pavia Health Clinic Guanica
- Practice address
- Carr 116 Ramal 1116 KM 27.7
Guanica, PR 00653 - Phone
- (787) 821-0402
- Fax
- (787) 805-2840
- NPI assigned
- Mar 4, 2019
- Last updated
- Apr 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos I Huertas
- Title
- Finance Director
- Phone
- (787) 832-8444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | NU | Primary |
Addresses
Primary practice location
Carr 116 Ramal 1116 KM 27.7
Guanica, PR 00653
Mailing address
PO Box 698
Mayaguez, PR 00681-0698
Phone (787) 832-8444
Other names 1
- PAVIA HEALTH CLINIC GUANICA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100525000259 | PR | Part B Supplier - Clinic/Group Practice | 9830175033 |
Receives reassigned benefits from 61 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Mayaguez, PR |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Centro Radiologico Clinica Yaguez
- Specialist
- Mayaguez, PR
- NPI 1538617279
O20100525000259
-
dba Pavia Health Clinic Anasco
- Multi-Specialty Clinic/Center
- Anasco, PR
- NPI 1851826051
O20100525000259
National Provider Directory
National Provider DirectoryLocations
117 Calle Ramon Valdes
Mayaguez, PR 00680
Phone (787) 832-8445
Practitioners & affiliated clinicians
Practitioners 7
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.
-
- Neuroradiology Physician
- Coto Laurel, PR
- NPI 1144245432
-
- General Practice Physician
- San German, PR
- NPI 1548738917
-
- General Practice Physician
- Lajas, PR
- NPI 1760068555
-
- General Practice Physician
- Mayaguez, PR
- NPI 1316966468
-
- General Practice Physician
- Ponce, PR
- NPI 1609277128
-
- General Practice Physician
- NPI 1144696329
-
- General Practice Physician
- Tampa, FL
- NPI 1952327686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587427200000",
"number": "1811455413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 698",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006810698",
"telephone_number": "787-832-8444",
"fax_number": "787-805-2840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 116 RAMAL 1116 KM 27.7",
"city": "GUANICA",
"state": "PR",
"postal_code": "00653",
"telephone_number": "787-821-0402",
"fax_number": "787-805-2840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLINICA YAGUEZ INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-04",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A",
"authorized_official_last_name": "HUERTAS",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "787-832-8444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PAVIA HEALTH CLINIC GUANICA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Guanica, PR
- Centro de Diagnostico Y Tratamiento Guanica
- Cintron Ambulance Services LLC
- Waleska Cintron Rodriguez, M.D.
- Clinica Psicologica Las Mirlas LLC
- Clinica Yaguez Inc (Laboratorio Pavia Health Clinic Guanica)
- Clinica Yaguez, Inc (Centro Radiologico Pavia Health Clinic Guanica)
- Abdiel Josue Concepcion
- Doctor Xpress Corporation
- Dr Jorge Rivera Torres PSC
- Emma Casiano Cherena (Farmacia Guaniquena)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.