Active NPI
Guaynabo Health Providers, Corp.
- Emergency Care Clinic/Center
- Guaynabo, PR
National Provider Identifier
1992253637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- GUAYNABO HEALTH PROVIDERS, CORP.
- Doing business as
- CDT AMELIA
- Practice address
- 45 Calle Diego Vega
Barrio Amelia
Guaynabo, PR 00965 - Phone
- (787) 705-5858
- NPI assigned
- Sep 12, 2016
- 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
- Liliana Medina Otero
- Title
- President
- Phone
- (787) 720-5050
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
45 Calle Diego Vega
Barrio Amelia
Guaynabo, PR 00965
Mailing address
140 Ave Las Cumbres
Suite 210
Guaynabo, PR 00969
Phone (787) 720-5050
Other names 1
- CDT AMELIA
National Provider Directory
National Provider Directory- Tax ID family
- Guaynabo Health Providers Corp
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Radiology Clinic/Center
- Guaynabo, PR
- NPI 1063780534
-
- Clinical Medical Laboratory
- Guaynabo, PR
- NPI 1083982557
-
- Emergency Care Clinic/Center
- Guaynabo, PR
- NPI 1417398231
-
- Primary Care Clinic/Center
- Guaynabo, PR
- NPI 1871868547
Locations
45 Calle Diego Vega
Guaynabo, PR 00965
Phone (787) 705-5858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473638400000",
"number": "1992253637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 AVE LAS CUMBRES",
"address_2": "SUITE 210",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-720-5050",
"fax_number": "787-720-4949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CALLE DIEGO VEGA",
"address_2": "BARRIO AMELIA",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00965",
"telephone_number": "787-705-5858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUAYNABO HEALTH PROVIDERS, CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A",
"authorized_official_last_name": "MEDINA OTERO",
"authorized_official_first_name": "LILIANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-720-5050"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CDT AMELIA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Guaynabo, PR
- Guaynabo Health Providers, Corp.
- Guaynabo Health Providers, Corp.
- Guaynabo Health Providers, Corp.
- Guaynabo Health Providers, Corp.
- Guaynabo Health Providers, Corp.
- Guaynabo Medical Group, LLC
- Guaynabo Optometry Services
- Guaynabo Orthodontics C.P.
- Guaynabo Physical Medicine & Sports Center
- Guaynabo Radiology, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.