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NPI 1265038996ActiveOrganization· General Practice· Guayama, PR
General Practice in Guayama, Puerto Rico, registered in NPPES in December 2020. The authorized official on file is Jose G. Rodriguez, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265038996 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 8, 2020 |
| Last updated in NPPES | Dec 27, 2022 |
| Certified by provider | Dec 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Nutritionist, Nutrition, Education | 133NN1002X | — | — |
| Internal Medicine | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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