1831343276 NPI number — SECCION A NINOS CON NECESIDADES ESPECIALES DE SALUD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831343276 NPI number — SECCION A NINOS CON NECESIDADES ESPECIALES DE SALUD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SECCION A NINOS CON NECESIDADES ESPECIALES DE SALUD
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:
1831343276
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2008
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 VACUNACION
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 VACUNACION
Provider Second Line Business Practice Location Address:
AVENIDA SAN LUIS # 621
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00616-3666
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:
11/12/2008

Additional Information

Authorized Official

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

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X , 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: 060524 . This is a "MED" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-1Y . This is a "TERAPISTA" 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: S012 . This is a "FISIOTERAPIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 3511863 . This is a "MED Y TERAPIATAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-1G . This is a "GENTICISTA" 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: SH-10001 . This is a "MED" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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