Active NPI
Corredor Azul Integral LLC
Doing business as A1 Clinic
- Multi-Specialty Clinic/Center
- Bayamon, PR
National Provider Identifier
1902699424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- CORREDOR AZUL INTEGRAL LLC
- Doing business as
- A1 Clinic
- Practice address
- River Town Plaza, Local B
50 Ave Los Filtros
Bayamon, PR 00959 - Phone
- (787) 798-5090
- NPI assigned
- May 27, 2025
- Last updated
- May 27, 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
- Bernice Lopez Garcia, LCDA
- Title
- Administradora
- Phone
- (787) 378-9001
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Nutritionist | 133N00000X | |||
| Nutrition Education Nutritionist | 133NN1002X | |||
| Renal Nutrition Registered Dietitian | 133VN1005X | |||
| Obesity and Weight Management Nutrition Registered Dietitian | 133VN1201X | |||
| Diabetes Educator Registered Nurse | 163WD0400X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Nephrology Physician | 207RN0300X | |||
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
River Town Plaza, Local B
50 Ave Los Filtros
Bayamon, PR 00959
Mailing address
807 Ave Ponce de Leon
PMB 1307
San Juan, PR 00907
Phone (787) 798-5090
Other names 1
- A1 Clinic
National Provider Directory
National Provider Directory- Tax ID family
- A1 Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
50 Ave Los Filtros
Bayamon, PR 00959
Phone (787) 378-9001
807 Ave Ponce de Leon
San Juan, PR 00907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1902699424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 AVE PONCE DE LEON",
"address_2": "PMB 1307",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00907",
"telephone_number": "787-798-5090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RIVER TOWN PLAZA, LOCAL B",
"address_2": "50 AVE LOS FILTROS",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-798-5090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORREDOR AZUL INTEGRAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-27",
"last_updated": "2025-05-27",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "LOPEZ GARCIA",
"authorized_official_first_name": "BERNICE",
"authorized_official_title_or_position": "ADMINISTRADORA",
"authorized_official_telephone_number": "787-378-9001",
"authorized_official_credential": "LCDA"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "133N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist",
"state": null,
"license": null,
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": null,
"license": null,
"primary": false
},
{
"code": "133VN1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WD0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Diabetes Educator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A1 Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.