1508987983 NPI number — SECCION A NINOS CON NECESIDADES ESPECIALES

Table of content: (NPI 1508987983)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508987983 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 BAYAMON
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:
1508987983
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CENTRO PEDIATRICO BAYAMON
Provider Second Line Business Mailing Address:
ANTIGUA CASA DE SALUD AVE. LAUREL #100 SANTA JUANITA
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00956
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-778-4747
Provider Business Mailing Address Fax Number:
787-786-8615

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO PEDIATRICO BAYAMON
Provider Second Line Business Practice Location Address:
ANTIGUA CASA DE SALUD HOSP. RAMON R ARNADU
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-778-4747
Provider Business Practice Location Address Fax Number:
787-778-8615
Provider Enumeration Date:
04/03/2007

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:
787-778-4747

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: 070051 . This is a "AUDILOGIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 075174 . This is a "PSICOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 2441-5 . This is a "TFISICA, PATOLOHABLA, AUD" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 53219 . This is a "SERVICIOS ALIADOS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9560031 . This is a "MEDICO Y TERAPIAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P024 . This is a "AUDIOLOGIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P043 . This is a "ORTHOPEDA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S023 . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 060525 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 600322CPB . This is a "MEDICO Y TERAPIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P023 . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P025 . This is a "FISIOTERAPIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-6A . This is a "AUDIOLOGIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 88740 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P026 . This is a "PSICOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S025 . This is a "FISIOTERAPIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 076044 . This is a "TERAPIA HABLA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-6T . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S024 . This is a "AUDILOGIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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