# SECCION A NINOS CON NECESIDADES ESPECIALES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1306098686
- **Legal business name:** CENTRO DE VACUNACION
- **Authorized official:** MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
- **Authorized official phone:** (787) 771-2100

## Contact information

- **Practice address:** CENTRO PEDIATRICO PONCE 931 CARR 14, BO MACHUELO AVENIDA TITO CASTRO, PONCE, PR 00716-4717
- **Practice address phone:** (787) 842-5884
- **Practice address fax:** (787) 842-5802
- **Mailing address:** AVENIDA TITO CASTRO 931 CARR. 14 BO. MACHUELO, CENTRO PEDIATRICO DE PONCE, PONCE, PR 00716
- **Mailing address phone:** (787) 842-5884
- **Mailing address fax:** (787) 842-5802

## Taxonomy

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

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 10/17/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2116-5 | ALIADOS | PR |
| 01 | — | 433CPP | MEDICO | PR |
| 01 | — | 53438 | SERVICIOS ALIADOS | PR |
| 01 | — | 660433481-4G | GENETICISTA | PR |
| 01 | — | 660433481-4P | OFTALMOLOGIA | PR |
| 01 | — | 88754 | MEDICO | PR |
| 01 | — | S013 | PEDIATRA | PR |
| 01 | — | S027 | AUDIOLOGIA | PR |