Organization
CENTRO MEDICO DEL TURABO INC
Active
Other names
GRUPO NEUMOLOGIA PEDIATRICA AVANZADO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA SAN PABLO CAGUAS 1, SUITE 132, CAGUAS, PR 00726
(787) 653-2224
(787) 653-2217
Mailing address
AVE LUIS MUNOZ MARIN ESQ DEGETAU 1, URB MARIOLGA, CAGUAS, PR 00725
(787) 653-2224
(787) 653-2217
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
6371
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10806
LICENSE
PR
01
—
6371
LICENSE
PR
01
—
6907
LICENSE
PR
01
—
7822
LICENSE
PR
01
—
7963
LICENSE
PR
Enumeration date
02/12/2007
Last updated
08/12/2013
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