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Organization
PEDIATRIC PROFESSIONALS, CSP
Active
Organization
PEDIATRIC PROFESSIONALS, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAGROS T REYES MORA MD (PRESIDENTE)
(787) 924-7575
Entity
Organization
Contact information
Practice address
1 AVE CAMPINAS DE NAVARRO, URB CAMPINAS DE NAVARRO, GURABO, PR 00778-5500
(787) 924-7575
(787) 924-7575
Mailing address
PO BOX 8549, CAGUAS, PR 00726-8549
(787) 924-7575
(787) 924-7575
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
NULL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
Other
Enumeration date
01/06/2014
Last updated
01/27/2016
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