PEDIATRIC & GENERAL SURGERY LLC (NPI# 1376150680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376150680 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC & GENERAL SURGERY LLC |
| Practice Address |
410 Ave Hostos Ste 123 Mayaguez PR 00682-1560 |
| Mailing Address |
Po Box 1605 Rincon PR 00677-1605 |
| Practice Telephone | 7873142325 |
| Mailing Telephone | 7873142325 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Authorized Official Name | JEAN C CARRASQUILLO QUINONES (PRESIDENT) |
| Authorized Official Telephone | 7873142325 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
410 AVE HOSTOS STE 123 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00682-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437136 | Laura Andrea Rosado Gonzalez | Internal Medicine | Paseo Los Robles, Los Caminos, #1805, Mayaguez, PR 00682 | 2020-08-13 |
| 1649898875 | Grupo Ng L.l.c | Pharmacy | Plaza De Hostos Local 8 Carr #2 Km 151, Mayaguez, PR 00682 | 2020-07-14 |
| 1023639127 | Eugenio Alejandro Sanchez Perez IIi | Physician Assistant | Urb. Los Versalles, Calle Luis Xiv #2042, Mayaguez, PR 00682 | 2020-04-29 |
| 1285267864 | Farmacia Ajl LLC | Pharmacy | Carr 108 Km 2.6, Mayaguez, PR 00682 | 2020-02-21 |
| 1487202198 | Benjamin Colucci Bisot | Psychologist | Alturas De Mayaguez, Calle Torrecillas 913, Mayaguez, PR 00682 | 2019-08-27 |
| 1356997084 | Rafael Munoz | Massage Therapist | Cond La Cima Apt A602, Urb Paseo Los Robles, Mayaguez, PR 00682 | 2019-08-19 |
| 1194377382 | Eduardo Alberto Lindsay | Family Medicine | Hostos 410 Carretera 2, Mayaguez, PR 00682 | 2019-07-09 |
| 1194382606 | Melanie Mercado | Psychologist | 1588 Carr 108 Km 4.3, Bo Miradero, Mayaguez, PR 00682 | 2019-05-21 |
| 1497229355 | Israel Laracuente | Student in an Organized Health Care Education/Training Program | 3111 Calle Atalaya, Alturas De Mayaguez, Mayaguez, PR 00682 | 2019-01-14 |
| 1528540861 | Elsie Maria Rodriguez Palermo | Psychologist | 445 Gonzalez Clemente Ave, Val Harbour Plaza Suite 301, Mayaguez, PR 00682 | 2018-09-04 |
| Find all providers in zip 00682 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760782197 | Juan Fernandez | Surgery | 261 Calle Rialto, Mayaguez, PR 00682-5842 | 2010-11-02 |
| 1851604367 | Jose Antonio Saavedra-belaunde | Surgery | 410 Hostos Avenue, Carretera # 2, Bo Sabalos, Mayaguez, PR 00680 | 2010-07-26 |
| 1336452606 | Duran Surgical Services Psc | Surgery | 16 Oeste De Diego St., #102, Mayaguez, PR 00680 | 2010-07-15 |
| 1518120435 | Javier Marquez Graciani | Surgery | 14 Calle Peral N Ste Ic, Mayaguez, PR 00680-4861 | 2008-07-10 |
| 1699893552 | Julio C Hernadez Vicens | Surgery | 22 Dr. Basora Street, Mayaguez, PR 00681-4847 | 2007-03-27 |
| 1134283211 | Normando G Duran Guzman | Surgery | 16w Calle De Diego, Suite102, Mayaguez, PR 00680 | 2006-12-21 |
| 1427116797 | Luis O Ramirez Ferrer Sr. | Surgery | Ave Hostos # 410, Bo Sabalo Carr # 2, Mayaguez, PR 00682-6353 | 2006-12-05 |
| 1215095153 | Juan R Diaz Troche Sr. | Surgery | Calle Pablo Maiz 13, Bo Barcelona, Mayaguez, PR 00681-1150 | 2006-12-04 |
| 1194797373 | Efrain Nazario-cintron | Surgery | Carretera #2, Avenida Hostos, Centro Medico Mayaguez, Mayaguez, PR 00680 | 2006-02-02 |
| 1437120979 | Juan R Diaz Troche Cirujanos Csp | Surgery | 13 Calle Pablo Maiz, Bo Barcelona, Mayaguez, PR 00680-4838 | 2006-02-01 |
| Find all providers in MAYAGUEZ | ||||
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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.