# CENTRO MEDICO DEL TURABO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GRUPO CIRUGIA PEDIATRICA AVANZADA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689891160
- **Authorized official:** MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 653-3434

## Contact information

- **Practice address:** HIMA SAN PABLO CAGUAS CEPA, AVE LUIS MUNOZ MARIN PRIMER PISO, CAGUAS, PR 00725
- **Practice address phone:** (787) 653-2224
- **Practice address fax:** (787) 653-2217
- **Mailing address:** PO BOX 4980, CAGUAS, PR 00726-4980
- **Mailing address phone:** (787) 653-2224
- **Mailing address fax:** (787) 653-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 9557 | PR | Yes |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 09/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | MEDICAL LICENSE | 9557 | PR |