# PROVIDER NETWORK SOLUTIONS OF PUERTO RICO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Clinical Group - IHS of Guaynabo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811555972
- **Authorized official:** NARDY DELGADO (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (787) 523-5767

## Contact information

- **Practice address:** 140 AVE LAS CUMBRES, GUAYNABO, PR 00969-5523
- **Practice address phone:** (787) 789-2101
- **Mailing address:** PO BOX 195615, SAN JUAN, PR 00919-5615
- **Mailing address phone:** (787) 789-2101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/04/2019
- **Last updated:** 06/22/2020