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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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