# SECCION ANINOS CON NECESIDADES ESPECIALES DE SALUD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CENTRO DE VACUNACION
- **Other names:** CENTRO PEDIATRICO MAYAGUEZ
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174777551
- **Legal business name:** CENTRO DE VACUNACION
- **Authorized official:** MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA)
- **Authorized official phone:** (787) 771-2100

## Contact information

- **Practice address:** 410 AVE HOSTOS, SUITE \#1, CENTRO PEDIATRICO DE MAYAGUEZ VACUNACION, MAYAGUEZ, PR 00682-1522
- **Practice address phone:** (787) 832-3100
- **Practice address fax:** (787) 832-6015
- **Mailing address:** 410 AVE HOSTOS, SUITE \#1, CENTRO PEDIATRICO DE MAYAGUEZ VACUNACION, MAYAGUEZ, PR 00682-1522
- **Mailing address phone:** (787) 833-3100
- **Mailing address fax:** (787) 832-6015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 11/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00433CPM | MED Y ALIADOS | PR |
| 01 | — | 120537 | MED Y ALIADOS | PR |
| 01 | — | 203699 | MED Y ALIADOS | PR |
| 01 | — | 660433481-2 | MED | PR |
| 01 | — | 6800103 | MED Y ALIADOS | PR |
| 01 | — | 81394 | ALIADOS | PR |
| 01 | — | 88755 | MED | PR |
| 01 | — | C017 | PEDIATRA | PR |
| 01 | — | P0051 | AUDILOGIA | PR |
| 01 | — | P5174 | PSICOLOGA | PR |
| 01 | — | P6044 | PATOLOGA DEL HABLA | PR |
| 01 | — | S018 | OFTALMOLOGIA | PR |
| 01 | — | S019 | CIRUJANO | PR |
| 01 | — | S020 | OETOPEDIA | PR |
| 01 | — | S022 | AUDIOLOGIA | PR |