Active NPI
Fundacion Mi Gran Sueno, Incorporado
Doing business as Fundacion Mi Gran Sueno, Incor
- Multi-Specialty Clinic/Center
- Aguada, PR
National Provider Identifier
1861363004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- FUNDACION MI GRAN SUENO, INCORPORADO
- Practice address
- Carr. 442 KM 1.5 Interior Bo. Espinal
Aguada, PR 00602 - Phone
- (787) 252-6464
- Fax
- (787) 252-6464
- NPI assigned
- Sep 12, 2025
- Last updated
- Sep 12, 2025
- 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
- Luis A. Quintana Moreno
- Title
- Fundador
- Phone
- (787) 431-6101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
Carr. 442 KM 1.5 Interior Bo. Espinal
Aguada, PR 00602
Mailing address
PO Box 1595
Aguada, PR 00602-1595
Phone (787) 431-6101
Other names 2
- Fundacion Mi Gran Sueno, Incor
- Fundacion Mi Gran Sueno, Incorporado
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Psychologist
- Aguada, PR
- NPI 1366339319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1861363004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1595",
"city": "AGUADA",
"state": "PR",
"postal_code": "006021595",
"telephone_number": "787-431-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 442 KM 1.5 INTERIOR BO. ESPINAL",
"city": "AGUADA",
"state": "PR",
"postal_code": "00602",
"telephone_number": "787-252-6464",
"fax_number": "787-252-6464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FUNDACION MI GRAN SUENO, INCORPORADO",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-12",
"last_updated": "2025-09-12",
"certification_date": "2025-08-30",
"status": "A",
"authorized_official_last_name": "QUINTANA MORENO",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "FUNDADOR",
"authorized_official_telephone_number": "787-431-6101"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fundacion Mi Gran Sueno, Incor",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Fundacion Mi Gran Sueno, Incor",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Fundacion Mi Gran Sueno, Incorporado",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Aguada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.