1154446037 NPI number — SECCION A NINOS CON NECESIDADES ESPECIALES

Table of content: (NPI 1154446037)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154446037 NPI number — SECCION A NINOS CON NECESIDADES ESPECIALES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SECCION A NINOS CON NECESIDADES ESPECIALES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CENTRO PEDIATRICO DE ARECIBO
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154446037
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CENTRO PEDIATRICO DE ARECIBO
Provider Second Line Business Mailing Address:
AVENIDA SAN LUIS # 621
Provider Business Mailing Address City Name:
ARECIBO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00616-3666
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-817-1245
Provider Business Mailing Address Fax Number:
787-879-9026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO PEDIATRICO DE ARECIBO
Provider Second Line Business Practice Location Address:
CARR. 129 ANTIGUO HOSPITAL DE DISTRITO
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612-3666
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-817-1245
Provider Business Practice Location Address Fax Number:
787-879-9026
Provider Enumeration Date:
03/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
DIRECTORA EJECUTIVA
Authorized Official Telephone Number:
787-771-2100

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: SH-10001 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-1Y . This is a "TERAPIAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 3511863 . This is a "MEDICO Y TERAPIAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-1G . This is a "GENETISISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S011 . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 060524 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S012 . This is a "FISIOTERAPIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6120147 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 88738 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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