# DEPARTAMENTO DE SALUD OFICIAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University Pediatric Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497416945
- **Authorized official:** MRS. GISSELLE KARINA VAN DERDYS ARROYO MHSA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 474-0333

## Contact information

- **Practice address:** PUERTO RICO MEDICAL CENTER, RIO PIEDRAS, PR 00919-1079
- **Practice address phone:** (787) 777-3232
- **Mailing address:** PO BOX 191079, SAN JUAN, PR 00919-1079
- **Mailing address phone:** (787) 474-0333
- **Mailing address fax:** (787) 522-3969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 01/06/2022
- **Last updated:** 09/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F-839165 | GOBIERNO DE PUERTO RICO, DEPARTAMENTO DE SALUD | PR |