Healthcare Provider Details

I. General information

NPI: 1598498123
Provider Name (Legal Business Name): GUZMAN MEDICAL CENTER CSP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2022
Last Update Date: 07/01/2022
Certification Date: 07/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR #2 KM. 40.34 LOCAL #5 BO. ALGARROBO
VEGA BAJA PR
00693
US

IV. Provider business mailing address

PO BOX 2002
VEGA BAJA PR
00694-2002
US

V. Phone/Fax

Practice location:
  • Phone: 787-502-7262
  • Fax:
Mailing address:
  • Phone: 787-502-7262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. NELSON GARCIA
Title or Position: VICEPRESIDENT
Credential: MHSA
Phone: 787-502-7262