NPIMap

Organization Active NPI

Provider Network Solutions of Puerto Rico

Doing business as Clinical Group - IHS of Guaynabo

  • Multi-Specialty Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1811555972
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PROVIDER NETWORK SOLUTIONS OF PUERTO RICO
Doing business as
Clinical Group - IHS of Guaynabo
Practice address
140 Ave Las Cumbres
Guaynabo, PR 00969-5523
Phone
(787) 789-2101
NPI assigned
Jun 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Authorized official

Name
Nardy Delgado
Title
Chief Operating Officer
Phone
(787) 523-5767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

140 Ave Las Cumbres
Guaynabo, PR 00969-5523

Mailing address

PO Box 195615
San Juan, PR 00919-5615
Phone (787) 789-2101

Other names 1

  • Clinical Group - IHS of Guaynabo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinical Group - IHS of Guaynabo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1811555972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195615",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009195615",
            "telephone_number": "787-789-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 AVE LAS CUMBRES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695523",
            "telephone_number": "787-789-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER NETWORK SOLUTIONS OF PUERTO RICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-04",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "NARDY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "787-523-5767"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinical Group - IHS of Guaynabo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 22, 2020; 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.