Organization Active NPI

Guaynabo Health Providers, Corp.

  • Emergency Care Clinic/Center
  • Guaynabo, PR
National Provider Identifier
1992253637
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
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

Updated by the provider on Sep 12, 2016

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guaynabo Health Providers Corp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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

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.

Verify at the official NPI Registry.