# CENTRO DE CIRUGIA PEDIATRICA

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

## Provider details

- **NPI number:** 1568495190
- **Authorized official:** MRS. ODETTE PINZON (ADMINISTRATOR)
- **Authorized official phone:** (787) 812-5286

## Contact information

- **Practice address:** SAINT LUKES MEMORIAL HOSPITAL, MERCEDITA, PR 00715-0244
- **Practice address phone:** (787) 812-5286
- **Practice address fax:** (787) 984-2821
- **Mailing address:** PO BOX 244, MERCEDITA, PR 00715-0244
- **Mailing address phone:** (787) 812-5286
- **Mailing address fax:** (787) 984-2821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 11008 | PR | Yes |

## Other

- **Enumeration date:** 07/08/2006
- **Last updated:** 08/22/2020