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Organization

JCM PEDIATRIC HOSPITALIST SERVICES OF PUERTO RICO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE MANUEL CANTELLOPS M.D. (PRESIDENT)
(787) 731-2721
Entity
Organization

Contact information

Practice address
PUERTO RICO CHILDREN HOSPITAL, CARR. #2 KM 11.7, BAYAMON, PR 00959
(787) 474-8282
Mailing address
B22 SOUTHVIEW CT, URB. BALDWIN PARK, GUAYNABO, PR 00969-4118
(787) 731-2721
(787) 790-2518

Taxonomy

Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
10867
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033162300
NPI
PR
01
1073578068
NPI
PR
01
1104860386
NPI
PR
01
1225006273
NPI
PR
01
1225006273
NPI
01
1700939543
NPI
PR
Enumeration date
04/07/2010
Last updated
04/07/2010
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