PEDIATRIC PRO & MEDICINE LLC (NPI# 1295223055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295223055 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC PRO & MEDICINE LLC |
| Practice Address |
Calle Jose C Vazquez Carretera 726 Urb Vlla Rosales Aibonito PR 00705 |
| Mailing Address |
Po Box 8549 Caguas PR 00726-8549 |
| Practice Telephone | 7877358100 |
| Practice Fax Number | 7879247575 |
| Mailing Telephone | 7879247575 |
| Mailing Fax Number | 7879247575 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Authorized Official Name | MR. JORGE E DEL VALLE (ADMINISTRATOR) |
| Authorized Official Telephone | 7879247575 |
| Authorized Official Credential | PE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Pr 138 Ave Luis Munos Marin, Coamo, PR 00769 | 7878030115 | 7879247575 |
| Street Address |
CALLE JOSE C VAZQUEZ CARRETERA 726 URB VLLA ROSALES |
| City | AIBONITO |
| State | PR |
| Zip Code | 00705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406267 | Cristaly Rivera | Social Worker | Carr 723 Km 0.01 Bo. Asomante 705, Aibonito, PR 00705 | 2020-10-27 |
| 1780283887 | Emily Rosa Matos | Psychologist | State Road 14, Calle Sargento Gerardo Santiago #15, Aibonito, PR 00705 | 2020-10-20 |
| 1417574039 | Clinica Todo Salud, LLC | Case Management | 53 Cll Felix Rios #71, Aibonito, PR 00705 | 2020-06-30 |
| 1821624032 | Keishla Cartagena | Psychologist | Carr 722 Km 3.9 Bo Rabanal Sector La Sierra, Aibonito, PR 00705 | 2020-03-19 |
| 1194351866 | Mi Tele Salud | Clinic/Center | Edificio Central, Calle Baldorioty 165 Norte Buzon #2, Aibonito, PR 00705 | 2020-03-13 |
| 1801421748 | Kiara Crystal Ortiz | Student in an Organized Health Care Education/Training Program | Urb. Mirador Las Delicias, Aibonito, PR 00705 | 2020-03-11 |
| 1407487374 | Asdrubal Enrique Rivera Dones | Student in an Organized Health Care Education/Training Program | Carr 723 Km 0.9 Int Bo. Asomante, Aibonito, PR 00705 | 2020-01-30 |
| 1285274761 | Francisco Manuel Pujals Frye | Student in an Organized Health Care Education/Training Program | Calle Sgto Gerardo Santiago Carr #14 Interior, Aibonito, PR 00705 | 2020-01-13 |
| 1871132464 | Farmacia Unity, Inc. | Pharmacy | Calle San Jose #51 Oeste, Aibonito, PR 00705 | 2019-12-30 |
| 1699314500 | Bienestar Health Group | Clinic/Center | Calle Baldorioty 165 Norte, Buzon #2, Barrio Llanos, Aibonito, PR 00705 | 2019-12-26 |
| Find all providers in zip 00705 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375644 | Health Preventive and Emergency Services Psc | Emergency Medicine | Ofic 105 207 Calle Manuel Domenech, San Juan, PR 00918-0091 | 2020-08-04 |
| 1598398943 | Emergency Medical Consultants Group - Emcg Inc | Emergency Medicine | 159 Calle Quinto Centenario, Luquillo, PR 00773-2319 | 2020-02-13 |
| 1467016287 | Heart Ems | Emergency Medicine | 1608 Calle Bori St 202, Edificio La Electronica, San Juan, PR 00926-0092 | 2019-04-26 |
| 1598228074 | Moises E Velazquez | Emergency Medicine | 288 Calle 4, Trujillo Alto, PR 00976-2919 | 2019-04-10 |
| 1285140616 | Premier Health Care LLC | Emergency Medicine | 272 Calle 1, Puerto Nuevo Ne, San Juan, PR 00920 | 2017-12-21 |
| 1497274286 | Capitol Clinical Comprehensive LLC | Emergency Medicine | 703 Calle Victor Lopez, San Juan, PR 00909-2843 | 2017-09-13 |
| 1427579168 | Policlinica Familiar Shalom Inc | Emergency Medicine | Carr 2 Km 101.6 Calle Marginal Del Parque, Bo Terranova, Quebradillas, PR 00678 | 2017-07-03 |
| 1326595752 | Javier Ivan Pacheco | Emergency Medicine | E35 Calle 2, Urb Los Rosales, Humacao, PR 00791-3105 | 2016-09-01 |
| 1730528274 | Jfj Medical LLC | Emergency Medicine | 10 Villa Angela, 6, Arecibo, PR 00612-9687 | 2013-06-18 |
| 1598057374 | Aguada Medical Center Inc. | Emergency Medicine | Carretera 115, Km 24.5 Barrio Asomante, Aguada, PR 00602 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.