Healthcare Provider Details

I. General information

NPI: 1962556159
Provider Name (Legal Business Name): CENTRO MEDICINA FAMILIAR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 152 KM 12 6 BARRIO CEDRO ARRIBA
NARANJITO PR
00719
US

IV. Provider business mailing address

U11 CALLE LEILA ESTE
LEVITTOWN PR
00949-4618
US

V. Phone/Fax

Practice location:
  • Phone: 787-869-9336
  • Fax:
Mailing address:
  • Phone: 787-869-8708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StatePR

VIII. Authorized Official

Name: DR. LILLIAM M GUILBEE
Title or Position: MEDICO
Credential:
Phone: 787-869-8708