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Organization
LITTLE ANGELS PEDIATRIC GROUP PSC
Active
Organization
LITTLE ANGELS PEDIATRIC GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE MORINGLANE M.D. (PEDIATRITIAN)
(787) 747-0300
Entity
Organization
Contact information
Practice address
CARR. 931 KM. 5.4, ALTOS SUITE #2 BO. NAVARRO, GURABO, PR 00778
(787) 747-0300
(787) 747-0300
Mailing address
HC- 02 13066, BO. NAVARRO, COLINAS DE NAVARRO, GURABO, PR 00778-3066
(787) 747-0300
(787) 747-0300
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
11228
PR
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
13537
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
132B
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
02/13/2007
Last updated
08/22/2020
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