# SOCIEDAD PRO HOSPITAL DEL NINO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOCIEDAD PRO HOSPITAL DEL NINO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407116684
- **Authorized official:** MRS. VANIA MEDINA (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (787) 783-2226

## Contact information

- **Practice address:** CARR 1490 KM 0.6 MONACILLO, GUAYNABO, PR 00966
- **Practice address phone:** (787) 783-2226
- **Practice address fax:** (787) 783-1325
- **Mailing address:** PO BOX 2124, SAN JUAN, PR 00922-2124
- **Mailing address phone:** (787) 783-2226
- **Mailing address fax:** (787) 783-1325

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 133N00000X | Nutritionist | — | PR | — |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | PR | — |
| 208000000X | Pediatrics Physician | — | PR | — |
| 2080P0205X | Pediatric Endocrinology Physician | — | PR | — |
| 2080P0208X | Pediatric Infectious Diseases Physician | — | NULL | — |
| 2080P0208X | Pediatric Infectious Diseases Physician | — | — | — |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | — |
| 2080P0210X | Pediatric Nephrology Physician | — | — | — |
| 2080P0214X | Pediatric Pulmonology Physician | — | PR | — |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 225100000X | Physical Therapist | — | PR | — |
| 225X00000X | Occupational Therapist | — | PR | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | — | PR | — |
| 235Z00000X | Speech-Language Pathologist | — | PR | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 05/22/2012
- **Last updated:** 04/11/2022