NAGUABO MEDICAL MALL – NPI #1558818484
Clinic/Center

NAGUABO MEDICAL MALL is an AHC clinic located in NAGUABO, PR. NPPES has assigned the NPI number 1558818484 to NAGUABO MEDICAL MALL on September 08, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NAGUABO MEDICAL MALL” is a dba name, the actual legal business name for this organization is PR HEALTHCARE MANAGEMENT GROUP. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NAGUABO MEDICAL MALL below.

NPI Profile for
PR HEALTHCARE MANAGEMENT GROUP

NPI Number
1558818484
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PR HEALTHCARE MANAGEMENT GROUP
Doing Business As (dba): NAGUABO MEDICAL MALL
Primary location
CARR 31 KM. 4.0
NAGUABO, PR 00718
Phone: (787) 874-3125 Fax:
Mailing address
PO BOX 2598
GUAYNABO, PR 00970-2598
Phone: (787) 637-6274 Fax:
Organization Subpart
No
Authorized Official
HARRY NEGRON JUDICE
PRESIDENT
Phone: (787) 637-6274
Updated
Identifiers

Identifiers for NAGUABO MEDICAL MALL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPTANPRHH671A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)		 PR 57686

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.