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NPI Code Detail

MEDICARE: CLINICA LAS AMERICAS GUAYNABO, INC

MEDICARE: CLINICA LAS AMERICAS GUAYNABO, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3207RG0300XGeriatric Medicine (Internal Medicine) Physician
4208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1033508197
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINICA LAS AMERICAS GUAYNABO, INC
Provider Business Mailing Address
First Line : PO BOX 7891
Second Line : PMB 509
City : GUAYNABO
State : PR
Zip : 00970-7894
Country : US
Telephone Number : 787-789-1919
Fax Number : 787-999-3069
Provider Business Practice Location Address
First Line : 1 AVE CASA LINDA
Second Line :
City : BAYAMON
State : PR
Zip : 00959-9000
Country : US
Telephone Number : 787-789-1996
Fax Number : 787-789-2180
Authorized Official
Title or Position : SVP & STRATEGY PHARMACY
Name : NURY TOLEDO NUNEZ
Credential :
Telephone Number : 787-789-1996
Provider Enumeration Date : 01/13/2015
Last Update Date : 04/15/2025

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Practice Location Address:
CASA LINA AVE. #1 SUITE 101 , 1 AVE CASA LINDA
BAYAMON, PR
00969-9000
Practice Phone: 787-789-1996
Practice Fax: 787-789-2180

Directions to “CLINICA LAS AMERICAS GUAYNABO, INC ” Practice Location

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