MEDICARE: CLINICA LAS AMERICAS GUAYNABO

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
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1154968790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICA LAS AMERICAS GUAYNABO

Provider Business Mailing Address
First Line	:	PO BOX 7891
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00970-7891
Country	:	US
Telephone Number	:	787-789-1996
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 CARR 149 # KM
Second Line	:
City	:	VILLALBA
State	:	PR
Zip	:	00766-3401
Country	:	US
Telephone Number	:	787-789-1996
Fax Number	:

Authorized Official
Title or Position	:	SVP & STRATEGY PHARMACY
Name	:	NURY TOLEDO NUNEZ
Credential	:
Telephone Number	:	787-789-1996

Provider Enumeration Date	:	12/03/2019
Last Update Date	:	04/15/2025

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