Organization · NPI-2

Tiger Kids, LLC

Clinic/Center, Primary Care · Caguas, PR

NPI number1104290766

StatusActive

Last updated in NPPESJul 6, 2018

Details

NPI: 1104290766
Entity type: Organization (NPI-2)
Legal business name: Tiger Kids, LLC
Organization subpart: No
Enumeration date: Nov 19, 2015
Last updated: Jul 6, 2018

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
261QP2300X	Clinic/Center, Primary Care	11223	PR	Yes
2080P0214X	Pediatrics, Pediatric Pulmonology	–	–
2084N0402X	Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology	–	–
2080P0208X	Pediatrics, Pediatric Infectious Diseases	–	–
2080P0210X	Pediatrics, Pediatric Nephrology	–	–
174400000X	Specialist	–	–
208000000X	Pediatrics	–	–
2080N0001X	Pediatrics, Neonatal-Perinatal Medicine	–	–
2080P0202X	Pediatrics, Pediatric Cardiology	–	–
2080P0205X	Pediatrics, Pediatric Endocrinology	–	–
2080P0206X	Pediatrics, Pediatric Gastroenterology	–	–
2080P0207X	Pediatrics, Pediatric Hematology-Oncology	–	–

Practice location

2 Calle Munoz Rivera
Suite 3
Caguas, PR 00725-2603

Phone 787-286-2800

Mailing address

3 Calle Munoz Rivera
Caguas, PR 00725

Phone 787-286-2800

Authorized official

Roberto J. Gandara Mendez
President/Treasurer
7872862800

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