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GRUPO MEDICO CAROLINA LLC NPI 1093105256


NPI Information

NPI: 1093105256
Provider Name: GRUPO MEDICO CAROLINA, LLC

Former Legal Business Name: SERVICIOS SALUD MENTAL CAROLINA

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
35-21 CALLE 16
VILLA CAROLINA
CAROLINA, PR
ZIP 00985
Phone: (787) 752-1979
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GRUPO MEDICO CAROLINA, LLC is a general practice in Carolina, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GRUPO MEDICO CAROLINA, LLC NPI is 1093105256. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Servicios Salud Mental Carolina.

The provider's business location address is:

35-21 CALLE 16
VILLA CAROLINA
CAROLINA, PR
ZIP 00985-440
Phone: (787) 752-1979
Fax: (787) 998-3656

The provider's authorized official is Diogenes O Adames .
The authorized official title is Proprietor/medical Director and has the following contact phone number (787) 550-2467.

The enumeration date for this NPI number is 1/27/2015 and was last updated on 10/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HY724AMEDICARE UPINPUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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