# CENTRO MEDICO DEL TURABO INC

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

## Provider details

- **NPI number:** 1720122849
- **Authorized official:** MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 653-3434

## Contact information

- **Practice address:** HIMA SAN PABLO CAGUAS, AVE MUNOZ MARIN PISO 1, CAGUAS, PR 00725
- **Practice address phone:** (787) 653-2224
- **Practice address fax:** (787) 653-2217
- **Mailing address:** PO BOX 4980, CAGUAS, PR 00726
- **Mailing address phone:** (787) 653-2224
- **Mailing address fax:** (787) 653-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | 16357 | PR | Yes |

## Other

- **Enumeration date:** 02/20/2007
- **Last updated:** 05/21/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | $$$$$$$$$ | SOCIAL SECURITY | PR |