Healthcare Provider Details

I. General information

NPI: 1942328000
Provider Name (Legal Business Name): SECCION A NINO CON NECESIDADES ESPECIALES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO PEDIATRICO CAGUAS PREDIOS DEL HOSP SAN JUAN BAUTISTA
CAGUAS PR
00725-8548
US

IV. Provider business mailing address

CENTRO PEDIATRICO CAGUAS DEPARTAMENTO DE SALUD PO BOX 8548
CAGUAS PR
00726-8548
US

V. Phone/Fax

Practice location:
  • Phone: 787-704-7066
  • Fax:
Mailing address:
  • Phone: 787-704-7066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARMEN R RODRIGUEZ
Title or Position: DIRECTORA EJECUTIVA
Credential: MPA
Phone: 787-771-2100