Organization
DEPARTAMENTO DE SALUD OFICIAL
Active
Other names
PEDIATRIC RENAL CENTER, UNIVERSITY PEDIATRIC HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GISSELLE KARINA VAN DERDYS MHSA (EXECUTIVE DIRECTOR)
(787) 474-0333
Entity
Organization
Contact information
Practice address
UNIVERSITY PEDIATRIC HOSPITAL, CARR 22 BO MONACILLO, RIO PIEDRAS, PR 00935
(787) 777-3232
(787) 756-8907
Mailing address
PO BOX 191079, SAN JUAN, PR 00919-1079
(787) 474-0333
(787) 522-3969
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
34CNC NUM92-168
PR
Other
Enumeration date
01/16/2007
Last updated
04/14/2026
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