1174645089 NPI number — SECCION A NINOS CON NECESIDADES ESPECIALES

Table of content: (NPI 1174645089)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174645089 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:
Provider Other Organization Name Type Code:
6
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:
1174645089
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CENTRO PEDIATRICO DE PONCE
Provider Second Line Business Mailing Address:
AVENIDA TITO CASTRO 931 CARR. 14 BO. MACHUELO
Provider Business Mailing Address City Name:
PONCE
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00716-4717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-842-5884
Provider Business Mailing Address Fax Number:
787-842-5802

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO PEDIATRICO DE PONCE
Provider Second Line Business Practice Location Address:
AVENIDA TITO CASTRO 931 CARR. 14 BO. MACHUELO
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716-4717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-842-5884
Provider Business Practice Location Address Fax Number:
787-842-5802
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGEZ
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: 00433CPP . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 2116-5 . This is a "SERVICIOS ALIADOS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-4P . This is a "OFTALMOLOGIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-4Z . This is a "NUTRICIONISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 203736 . This is a "MEDICO Y TERAPIAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-4Y . This is a "TERAPIA FISICA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 88754 . This is a "MEDICOS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S013 . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 060523 . This is a "MEDICO Y TERAPIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 53438 . This is a "SERVICIOS ALIADOS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S027 . This is a "AUDILOGIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 10007 . This is a "MEDICO Y TERAPIAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7310274 . This is a "MEDICO Y TERAPIAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S014 . This is a "OFTALMOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-4T . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1001531 . This is a "MEDICO TERAPIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 2116-1 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-4G . This is a "GENETISISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com