MEDICARE: CENTRO PEDIATRICO BUENA VISTA, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1134308398
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRO PEDIATRICO BUENA VISTA, INC.

Provider Business Mailing Address
First Line	:	KK-7 CALLE 10
Second Line	:	URB CANA
City	:	BAYAMON
State	:	PR
Zip	:	00957-6232
Country	:	US
Telephone Number	:	787-799-9977
Fax Number	:	787-799-9977

Provider Business Practice Location Address
First Line	:	CARR 167 # KM14.8
Second Line	:	BO. BUENA VISTA
City	:	BAYAMON
State	:	PR
Zip	:	00956-9212
Country	:	US
Telephone Number	:	787-799-9977
Fax Number	:	787-799-9977

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. GISSELLE CASTRO
Credential	:
Telephone Number	:	787-799-9977

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	10/24/2007

Similar Medicare Providers

1518939081 — DAVID VELAZQUEZ CAMARENA LABORATORIO CLINICO DAJAOS
Practice Location Address:

CARR 167 # KM11.0 , BO. DAJAOS
BAYAMON, PR
00956-9212

Practice Phone: 787-730-1195
Practice Fax: 787-730-1195

1972653673 — OHI OF PUERTO RICO, LLC
Practice Location Address:

REXVILLE TOWN CTR , BLDG A4 RD #167 K.M. 17.6
BAYAMON, PR
00956-9212

Practice Phone: 787-279-8137
Practice Fax:

1679949473 — OHI OF PUERTO RICO, LLC
Practice Location Address:

REXVILLE TOWN CTR BLDG A4 , RD #167 K.M. 17.6
BAYAMON, PR
00956-9212

Practice Phone: 787-279-8137
Practice Fax:

1275065799 — MISS LIZ MARIE GARCES ORTIZ PHARM.D, RPH
Practice Location Address:

CARR.167 AVE.LAS CUMBRES PLAZA MAYOR , KMART PHARMACY 7788 - REXVILLE TOWN CENTER
BAYAMON, PR
00956-9212

Practice Phone: 787-730-2615
Practice Fax:

1730495953 — MS. BRENDA ZAHIRA CRUZ
Practice Location Address:

CALLE SANTA CRUZ URB. BAYAMON , HOSPITAL HIMA SAN PABLO
BAYAMON, PR
00956

Practice Phone: 787-232-8890
Practice Fax:

1003639378 — ERNESTO JUAN VAZQUEZ SR.
Practice Location Address:

CALLE SANTA CRUZ, URB # 70
BAYAMON, PR
00956

Practice Phone: 787-620-4747
Practice Fax:

Directions to “CENTRO PEDIATRICO BUENA VISTA, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.