Grupo Medico Carolina, LLC

Primary specialty

Psychiatric HospitalTaxonomy code 283Q00000X

License

HPSM-0540 Issued in PR

Legal business name

GRUPO MEDICO CAROLINA, LLC

Practice address

Villa Carolina
35-21 Calle 16
Carolina, PR 00985-5440

Phone

(787) 752-1979

Fax

(787) 276-6299

NPI assigned

Apr 8, 2011

Last updated

Sep 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Diogenes Orestes Adames Roa, M.D

Title

President

Phone

(787) 752-1979

Specialties & licenses 1

Addresses

Other names 1

• Servicios Salud Mental Carolina, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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.

• Arturo Miro, MD

  • Psychiatry Physician
  • Carolina, PR
  • NPI 1790741221
  NPD (past)

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1871883165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PLAZA CAROLINA ST P O BOX 9067",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009889067",
            "telephone_number": "787-752-1979",
            "fax_number": "787-276-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA CAROLINA",
            "address_2": "35-21 CALLE 16",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009855440",
            "telephone_number": "787-752-1979",
            "fax_number": "787-276-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO MEDICO CAROLINA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "ADAMES ROA",
        "authorized_official_first_name": "DIOGENES",
        "authorized_official_middle_name": "ORESTES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-752-1979",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PR",
            "license": "HPSM-0540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servicios Salud Mental Carolina, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Grupo Fisiatrico Carolina, PSC. Physiatric Services
• Grupo Fisiatrico Gomez Hernandez CSP
• Grupo Gastroenterologico del Caribe, CSP
• Grupo Medico Cardiovascular-Py
• Grupo Medico Carolina, LLC
• Grupo Medico de PR
• Grupo Medico Samaritano PC
• Grupo Neurologico Santos Deliz
• Grupo Otorrinolaringologico de PR
• GSN Medical Incorporated

• Psychiatric Hospital in Carolina, PR
• Providers in Carolina, PR by specialty
• Psychiatric Hospital in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.