Provider Network Solutions of Puerto Rico LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PROVIDER NETWORK SOLUTIONS OF PUERTO RICO LLC

Doing business as

Imaging Center - 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

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

Authorized official

Name

Nardy Delgado

Title

Coo

Phone

(787) 523-5767

Specialties & licenses 3

Addresses

Other names 1

• Imaging Center - IHS of Guaynabo Doing business as

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": "1891353959",
    "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": "787-523-5767"
        },
        {
            "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 LLC",
        "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": "COO",
        "authorized_official_telephone_number": "787-523-5767"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imaging Center - IHS of Guaynabo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Proms LLC
• Provider Network Solutions of Puerto Rico (Clinical Group - IHS of Guaynabo)
• Provider Network Solutions of Puerto Rico LLC
• Provider Network Solutions of Puerto Rico LLC (IHS of Guaynabo- Preventive Clinics)
• Provider Network Solutions of Puerto Rico LLC (Laboratory - IHS of Guaynabo)
• Psycalma LLC
• Pueblo Inc
• Luz Marina Puerta, PHARMD
• Puerto Rico Case Management Corp. (Grupo Medico Guaynabo Medical Mall)
• Puerto Rico Case Manegement Corp

• Radiology Clinic/Center in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Radiology Clinic/Center in Puerto Rico

• 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.