Organization · NPI-2
Grupo Pediatrico De Caguas Csp
Pediatrics, Adolescent Medicine · Caguas, PR
NPI number1043209745
StatusActive
Last updated in NPPESMar 16, 2009
Details
- NPI
- 1043209745
- Entity type
- Organization (NPI-2)
- Legal business name
- Grupo Pediatrico De Caguas Csp
- Organization subpart
- No
- Enumeration date
- Oct 17, 2005
- Last updated
- Mar 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080A0000X | Pediatrics, Adolescent Medicine | – | PR | Yes |
Practice location
50 Ave Munoz MarinQuadrangle Medical Center 307
Caguas, PR 00725-3975
Phone 787-746-2021 · Fax 787-746-4248
Mailing address
Po Box 8969Caguas, PR 00726-8969
Phone 787-746-2021 · Fax 787-746-4248
Authorized official
Fernando J. Ysern Borras
Partner
7877462021
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