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Organization
CENTRO PEDIATRICO METROPOLITANO DE SERVICIOS DE HABILITACION
Active
Organization
CENTRO PEDIATRICO METROPOLITANO DE SERVICIOS DE HABILITACION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAVEZ MIRIAM MHSA (ADMINISTRATOR)
(787) 763-0550
Entity
Organization
Contact information
Practice address
HOSPITAL PEDIATRICO UNIVERSITARIO, CENTRO MEDICO DE PUERTO RICO, RIO PIEDRAS, PR 00919-1079
(787) 763-0550
(787) 763-1093
Mailing address
PO BOX 191079, SAN JUAN, PR 00919-1079
(787) 763-0550
(787) 763-1093
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
40 CNC NUM 93-060
PR
Other
Enumeration date
02/07/2007
Last updated
09/25/2007
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