# FUNDACION MI GRAN SUENO, INCORPORADO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Fundacion Mi Gran Sueno, Incor, Fundacion Mi Gran Sueno, Incor, Fundacion Mi Gran Sueno, Incorporado
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861363004
- **Authorized official:** LUIS A. QUINTANA MORENO (FUNDADOR)
- **Authorized official phone:** (787) 431-6101

## Contact information

- **Practice address:** CARR. 442 KM 1.5 INTERIOR BO. ESPINAL, AGUADA, PR 00602
- **Practice address phone:** (787) 252-6464
- **Practice address fax:** (787) 252-6464
- **Mailing address:** PO BOX 1595, AGUADA, PR 00602-1595
- **Mailing address phone:** (787) 431-6101

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2025
- **Last updated:** 09/12/2025