# PEDIATRIC PROFESSIONALS, CSP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366863698
- **Authorized official:** DR. MILAGROS T REYES MORA MD (PRESIDENTE)
- **Authorized official phone:** (787) 924-7575

## Contact information

- **Practice address:** 1 AVE CAMPINAS DE NAVARRO, URB CAMPINAS DE NAVARRO, GURABO, PR 00778-5500
- **Practice address phone:** (787) 924-7575
- **Practice address fax:** (787) 924-7575
- **Mailing address:** PO BOX 8549, CAGUAS, PR 00726-8549
- **Mailing address phone:** (787) 924-7575
- **Mailing address fax:** (787) 924-7575

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 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