Organization
SECCION A NINOS CON NECESIDADES ESPECIALES
Active
Organization
SECCION A NINOS CON NECESIDADES ESPECIALES
Active
Other names
CENTRO PEDIATRICO DE FAJARDO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRETOR EJECUTIVO)
(787) 771-2100
Entity
Organization
Contact information
Practice address
CENTRO PEDIATRICO DE FAJARDO, CALLE E SUITE 77 URB MONTEBRISAS, FAJARDO, PR 00738
(787) 704-7066
(787) 746-2898
Mailing address
CENTRO PEDIATRICO DE FAJARDO, CALLE E SUITE 77 URB MONTEBRISAS, FAJARDO, PR 00738
(787) 704-7066
(787) 746-2898
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060522
MEDICOS Y ALIADOS
PR
01
—
2424-5
MEDICOS Y ALIADOS
PR
01
—
53212
ALIADOS
PR
01
—
600324
MEDICOS Y ALIADOS
PR
01
—
660433481 - 0026
MEDICS Y ALIADOS
PR
01
—
660433481-3
MEDICO
PR
01
—
7174
MEDICOS
PR
01
—
7380038
MEDICO Y ALIADOS
PR
01
—
88737
MEDICO
PR
Enumeration date
04/18/2007
Last updated
08/22/2020
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