Organization · NPI-2

Centro Pediatrico Del Carmen

Pediatrics · Caguas, PR

NPI number1699029637
StatusActive
Last updated in NPPESOct 30, 2012

Details

NPI
1699029637
Entity type
Organization (NPI-2)
Legal business name
Centro Pediatrico Del Carmen
Organization subpart
No
Enumeration date
Oct 30, 2012
Last updated
Oct 30, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes
103T00000X Psychologist––
122300000X Dentist––
133N00000X Nutritionist––

Practice location

172st Plaza Del Carmen Mall #49
Caguas, PR 00725

Phone 787-810-1047

Mailing address

Po Box 193477
San Juan, PR 00919-3477

Phone 787-810-1047 · Fax 787-286-6161

Authorized official

Jose A Rivera
Director
7878101047

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