Organization
SECCION A NINOS CON NECESIDADES ESPECIALES
Active
Parent organization
CENTRO DE VACUNACION
Other names
CENTRO PEDIATRICO DE PONCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO DE VACUNACION
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
(787) 771-2100
Entity
Organization
Contact information
Practice address
CENTRO PEDIATRICO PONCE 931 CARR 14, BO MACHUELO AVENIDA TITO CASTRO, PONCE, PR 00716-4717
(787) 842-5884
(787) 842-5802
Mailing address
AVENIDA TITO CASTRO 931 CARR. 14 BO. MACHUELO, CENTRO PEDIATRICO DE PONCE, PONCE, PR 00716
(787) 842-5884
(787) 842-5802
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116-5
ALIADOS
PR
01
—
433CPP
MEDICO
PR
01
—
53438
SERVICIOS ALIADOS
PR
01
—
660433481-4G
GENETICISTA
PR
01
—
660433481-4P
OFTALMOLOGIA
PR
01
—
88754
MEDICO
PR
01
—
S013
PEDIATRA
PR
01
—
S027
AUDIOLOGIA
PR
Enumeration date
10/17/2008
Last updated
10/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us