Organization
NRV NEUROPEDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIA L RODRIGUEZ VAZQUEZ MD (PRESIDENT)
(787) 758-2000
Entity
Organization
Contact information
Practice address
715 AVE PONCE DE LEON PARADA 37.5, CLINICAS SUB ESPECIALISTA PEDIATRICAS PISO 1, SAN JUAN, PR 00917-5432
(787) 758-2000
Mailing address
PO BOX 353, SAN LORENZO, PR 00754-0353
(787) 209-0050
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
08/21/2021
Last updated
03/11/2025
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