Healthcare Provider Details

I. General information

NPI: 1386057149
Provider Name (Legal Business Name): RECINTO DE CIENCIAS MEDICAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 06/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY PEDIATRIC HOSPITAL
RIO PIEDRAS PR
00929-0134
US

IV. Provider business mailing address

PO BOX 29134
SAN JUAN PR
00929-0134
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-9165
  • Fax: 787-274-8156
Mailing address:
  • Phone: 787-758-2525
  • Fax: 787-274-8156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number
License Number State

VIII. Authorized Official

Name: MRS. DIANA RAMOS
Title or Position: ADMINISTRIVE ASISTANT
Credential: MS
Phone: 787-758-2525