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Organization

SECCION ANINOS CON NECESIDADES ESPECIALES DE SALUD

Active
Parent organization
CENTRO DE VACUNACION
Other names
CENTRO PEDIATRICO MAYAGUEZ
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRO DE VACUNACION
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA)
(787) 771-2100
Entity
Organization

Contact information

Practice address
410 AVE HOSTOS, SUITE #1, CENTRO PEDIATRICO DE MAYAGUEZ VACUNACION, MAYAGUEZ, PR 00682-1522
(787) 832-3100
(787) 832-6015
Mailing address
410 AVE HOSTOS, SUITE #1, CENTRO PEDIATRICO DE MAYAGUEZ VACUNACION, MAYAGUEZ, PR 00682-1522
(787) 833-3100
(787) 832-6015

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00433CPM
MED Y ALIADOS
PR
01
120537
MED Y ALIADOS
PR
01
203699
MED Y ALIADOS
PR
01
660433481-2
MED
PR
01
6800103
MED Y ALIADOS
PR
01
81394
ALIADOS
PR
01
88755
MED
PR
01
C017
PEDIATRA
PR
01
P0051
AUDILOGIA
PR
01
P5174
PSICOLOGA
PR
01
P6044
PATOLOGA DEL HABLA
PR
01
S018
OFTALMOLOGIA
PR
01
S019
CIRUJANO
PR
01
S020
OETOPEDIA
PR
01
S022
AUDIOLOGIA
PR
Enumeration date
11/11/2008
Last updated
11/11/2008
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