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NPI Code Detail

MEDICARE: GUAYNABO HEALTH PROVIDERS, CORP.

MEDICARE: GUAYNABO HEALTH PROVIDERS, CORP.
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
12085R0202XDiagnostic Radiology Physician
22085U0001XDiagnostic Ultrasound Physician
3261QE0002XEmergency Care Clinic/Center12-095PR
4261QE0002XEmergency Care Clinic/Center57PR
5261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center
6261QM1300XMulti-Specialty Clinic/Center
7261QP2300XPrimary Care Clinic/Center
8261QR0200XRadiology Clinic/Center
9261QR0206XMammography Clinic/Center
10261QU0200XUrgent Care Clinic/CenterPR
11291U00000XClinical Medical Laboratory
12261QE0002XEmergency Care Clinic/Center3PR

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HB327AOTHERMEDICARE PTAN

General Provider Information

NPI Number : 1497023972
Entity Type Code : Organization
Provider Name (Legal Business Name) : GUAYNABO HEALTH PROVIDERS, CORP.
Provider Business Mailing Address
First Line : 140 AVE LAS CUMBRES
Second Line : SUITE 210
City : GUAYNABO
State : PR
Zip : 00969-5523
Country : US
Telephone Number : 787-720-5050
Fax Number : 787-720-4949
Provider Business Practice Location Address
First Line : 140 AVE LAS CUMBRES
Second Line : GUAYNABO MEDICAL MALL
City : GUAYNABO
State : PR
Zip : 00969-5523
Country : US
Telephone Number : 787-720-5050
Fax Number : 787-720-4949
Authorized Official
Title or Position : PRESIDENT
Name : LILIANA MEDINA OTERO
Credential :
Telephone Number : 787-720-5050
Provider Enumeration Date : 12/12/2011
Last Update Date : 02/11/2014

Similar Medicare Providers

1669718391 — AMERICAN HEALTH INC
Practice Location Address:
LOTE 18 METRO OFFICE PARK , 3RD FLOOR SUITE 3000 AMERICAN HEALTH MEDICARE BUILDING
GUAYNABO, PR
00968
Practice Phone: 787-620-1919
Practice Fax: 787-620-0570
1891771697 — DR. LEONARDO ORTIZ
Practice Location Address:
140 AVE LAS CUMBRES
GUAYNABO, PR
00969-5523
Practice Phone: 787-720-5050
Practice Fax:
1043270960 — DARICE OROBITG PH.D.
Practice Location Address:
140 AVE LAS CUMBRES , GUAYNABO MEDICAL MALL SUITE 201
GUAYNABO, PR
00969-5523
Practice Phone: 787-412-8365
Practice Fax:
1407897994 — JOSE M PALOU ABASOLO M.D.
Practice Location Address:
140 AVE LAS CUMBRES , 140 AVE LAS CUMBRES OFIC 201
GUAYNABO, PR
00969-5523
Practice Phone: 787-731-5785
Practice Fax: 787-287-2487
1598828352 — LILIANA ZOE MIRANDA M.D.
Practice Location Address:
140 AVE LAS CUMBRES
GUAYNABO, PR
00969-5523
Practice Phone: 787-272-1292
Practice Fax: 787-287-2487
1265625578 — MRS. MARIA M ACEVEDO TORAL RD
Practice Location Address:
140 AVE LAS CUMBRES , GUAYNABO MEDICAL MALL LOCAL B
GUAYNABO, PR
00969-5523
Practice Phone: 787-710-2532
Practice Fax:
1043499445 — DR. JOHANNY HERNANDEZ
Practice Location Address:
140 AVE LAS CUMBRES
GUAYNABO, PR
00969-5523
Practice Phone: 787-720-5050
Practice Fax:

Directions to “GUAYNABO HEALTH PROVIDERS, CORP. ” Practice Location

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