Organization
CENTRO PEDIATRICO METROPOLITANO DE SERVICIOS DE HABILITACION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHAVEZ MIRIAM MHSA (ADMINISTRATOR)
(787) 763-0550
Entity
Organization
Contact information
Practice address
HOSPITAL PEDIATRICO UNIVERSITARIO, CENTRO MEDICO DE PUERTO RICO, RIO PIEDRAS, PR 00919-1079
(787) 763-0550
(787) 763-1093
Mailing address
PO BOX 191079, SAN JUAN, PR 00919-1079
(787) 763-0550
(787) 763-1093
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
40 CNC NUM 93-060
PR
Other
Enumeration date
02/07/2007
Last updated
09/25/2007
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