# CENTRO PEDIATRICO METROPOLITANO DE SERVICIOS DE HABILITACION

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

## Provider details

- **NPI number:** 1871633842
- **Authorized official:** MRS. CHAVEZ MIRIAM MHSA (ADMINISTRATOR)
- **Authorized official phone:** (787) 763-0550

## Contact information

- **Practice address:** HOSPITAL PEDIATRICO UNIVERSITARIO, CENTRO MEDICO DE PUERTO RICO, RIO PIEDRAS, PR 00919-1079
- **Practice address phone:** (787) 763-0550
- **Practice address fax:** (787) 763-1093
- **Mailing address:** PO BOX 191079, SAN JUAN, PR 00919-1079
- **Mailing address phone:** (787) 763-0550
- **Mailing address fax:** (787) 763-1093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD1600X | Developmental Disabilities Clinic/Center | 40 CNC NUM 93-060 | PR | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 09/25/2007