Organization
GRUPO PEDIATRICO CIUDAD UNIVERSITARIA, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO PACHECO M.D. (OWNER)
(787) 755-4270
Entity
Organization
Contact information
Practice address
D14 AVE AA, CIUDAD UNIVERSITARIA, TRUJILLO ALTO, PR 00976-3151
(787) 755-4270
(787) 755-1122
Mailing address
1795 CALLE GARDENIA, MANSIONES DE RIO PIEDRAS, SAN JUAN, PR 00926-7212
(787) 755-4270
(787) 755-1122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4934
PR
Other
Enumeration date
12/04/2008
Last updated
11/24/2009
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