Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO EMERGENCIAS PEDIATRICAS FAJARDO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA SAN PABLO FAJARDO, AVE GENERAL VALERO 404, FAJARDO, PR 00738
(787) 655-0505
(787) 655-5086
Mailing address
PO BOX 4980, CAGUAS, PR 00726
(787) 653-3434
(787) 961-1901
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
6893
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10483
MEDICAL LICENSE
PR
01
—
10792
MEDICAL LICENSE
PR
01
—
11744
MEDICAL LICENSE
PR
01
—
12373
MEDICAL LICENSE
PR
01
—
12929
MEDICAL LICENSE
PR
01
—
14540
MEDICAL LICENSE
PR
01
—
4494
MEDICAL LICENSE
PR
01
—
6893
MEDICAL LICENSE
PR
01
—
7291
MEDICAL LICENSE
PR
Enumeration date
02/20/2007
Last updated
08/12/2013
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