Organization 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
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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)CodeLicenseStatePrimary
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 Former legal business name
  • Fundacion Mi Gran Sueno, Incorporado Former legal business name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.