Organization Active NPI

Kayada Corp

  • Internal Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1831412527
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KAYADA CORP
Practice address
PMB 136
Ave Alejandrino 3071
Guaynabo, PR 00969-3071
Phone
(787) 269-8611
Fax
(787) 798-1224
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Dr. Luis Raul Forti, M.D.
Title
Dueno
Phone
(787) 269-8611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

PMB 136
Ave Alejandrino 3071
Guaynabo, PR 00969-3071

Mailing address

PMB 136
Ave Alejandrino 3071
Guaynabo, PR 00969-3071
Phone (787) 269-8611

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120924000430 PR Part B Supplier - Clinic/Group Practice 0042468670 Receives reassigned benefits from 2 practitioners
Practice locations: Bayamon, PR; Guaynabo, PR

National Provider Directory

National Provider Directory

Locations

140 Ave Las Cumbres
Ste 210
Guaynabo, PR 00969
Phone (787) 240-1456

3071 Ave Alejandrino
Guaynabo, PR 00969
Phone (787) 269-8611

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1831412527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 136",
            "address_2": "AVE ALEJANDRINO 3071",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693071",
            "telephone_number": "787-269-8611",
            "fax_number": "787-798-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PMB 136",
            "address_2": "AVE ALEJANDRINO 3071",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693071",
            "telephone_number": "787-269-8611",
            "fax_number": "787-798-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYADA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "FORTI",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "DUENO",
        "authorized_official_telephone_number": "787-269-8611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 9, 2010; 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.