NPIMap

Organization Active NPI

Clinica Las Americas Guaynabo

  • Public Health & General Preventive Medicine Physician
  • Ponce, PR
National Provider Identifier
1992268643
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CLINICA LAS AMERICAS GUAYNABO
Practice address
1825 Calle Navarra Suite 301
Edif Torre Sofia 3ER Piso
Ponce, PR 00717
Phone
(787) 789-1996
NPI assigned
Apr 10, 2019
Organization subpart
Yes
Parent organization
CLINICA LAS AMERICAS GUAYNABO, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2020

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

Authorized official

Name
Luis M Martinez Ruiz, CPA MHSA
Title
Presidente
Phone
(787) 999-3063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083P0901X Primary

Addresses

Primary practice location

1825 Calle Navarra Suite 301
Edif Torre Sofia 3ER Piso
Ponce, PR 00717

Mailing address

PO Box 7891
Guaynabo, PR 00970-7891
Phone (787) 789-1996

Other names 1

  • CENTRO PREVENTIVO PONCE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050201000414 PR Part B Supplier - Clinic/Group Practice 3476504077 Receives reassigned benefits from 65 practitioners
14 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carolina, PR; San Juan, PR; Ponce, PR; Bayamon, PR

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Clinica Las Americas Guaynabo19 organizations share this tax ID, including this one
Part of
Clinica Las Americas Guaynabo

Other organizations with this tax ID 18

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

View all 18

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1554854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1992268643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7891",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009707891",
            "telephone_number": "787-789-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CALLE NAVARRA SUITE 301",
            "address_2": "EDIF TORRE SOFIA 3ER PISO",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-789-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA LAS AMERICAS GUAYNABO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLINICA LAS AMERICAS GUAYNABO, INC",
        "enumeration_date": "2019-04-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ RUIZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-999-3063",
        "authorized_official_credential": "CPA MHSA"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO PREVENTIVO PONCE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CENTRO PREVENTIVO PONCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.