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NPI Code Detail

MEDICARE: SECCION A NINOS CON NECESIDADES ESPECIALES

MEDICARE: SECCION A NINOS CON NECESIDADES ESPECIALES
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
1261QH0100XHealth Service Clinic/CenterPR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100433CPMOTHERPRMEDICO Y ALIADOS
23156-1OTHERPRMEDICO Y ALIADOS
3P6044OTHERPRPATOLOGIA DEL HABLA
4120537OTHERPRMEDICOS Y ALIADOS
5S020OTHERPRORTOPEDIA
681394OTHERPRALIADOS
7P5174OTHERPRPSICOLOGA
810005OTHERPRMEDICO Y ALIADOS
96800103OTHERPRMEDICOS Y ALIADOS
10C017OTHERPRPEDIATRA
11S018OTHERPROFTALMOLOGO
12S022OTHERPRAUDIOLOGIA
13660433481-2OTHERPRMEDICOS
1488755OTHERPRMEDICOS
15S021OTHERPRFISIOTERAPIA
16203699OTHERPRMEDICOS Y ALIADOS
17M0520OTHERPRMEDICO
18P0051OTHERPRAUDIOLOGA
19S019OTHERPRCIRUJANO

General Provider Information

NPI Number : 1942424338
Entity Type Code : Organization
Provider Name (Legal Business Name) : SECCION A NINOS CON NECESIDADES ESPECIALES
Provider Business Mailing Address
First Line : CENTRO PEDIATRICO DE MAYAGUEZ
Second Line : 410 AVE HOSTOS, SUITE #1
City : MAYAGUEZ
State : PR
Zip : 00682-1522
Country : US
Telephone Number : 787-832-6015
Fax Number : 787-832-6015
Provider Business Practice Location Address
First Line : CENTRO PEDIATRICO DE MAYAGUEZ
Second Line : 410 AVE HOSTOS, SUITE #1
City : MAYAGUEZ
State : PR
Zip : 00682-1522
Country : US
Telephone Number : 787-832-6015
Fax Number : 787-832-6015
Authorized Official
Title or Position : DIRECTOR EJECUTIVA
Name : MRS. CARMEN R RODRIGUEZ
Credential : MPA
Telephone Number : 787-771-2100
Provider Enumeration Date : 04/13/2007
Last Update Date : 11/10/2008

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
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Practice Location Address:
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1619056165 — DR. CARMEN IRIS SANCHEZ- CRUZ M.D
Practice Location Address:
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MAYAGUEZ, PR
00682-1522
Practice Phone: 787-834-2115
Practice Fax:
1215061148 — DEPARTAMENTO DE SALUD OFICIAL
Practice Location Address:
PREDIOS CENTRO MEDICO MAYAGUEZ , 410 AVE HOSTOS CARR. # 22
MAYAGUEZ, PR
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1306066691 — ELSON CASIANO NURSE (LPN)
Practice Location Address:
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1649482928 — DR. JESSICA AIMEE MONTALVO PH.D.
Practice Location Address:
410 AVE. HOSTOS , SUITE 7
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Practice Fax: 787-833-1371

Directions to “SECCION A NINOS CON NECESIDADES ESPECIALES ” Practice Location

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