SANGLAN PEDIATRIC SURGERY LLC (NPI# 1780034421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780034421 |
| Entity Type | Organization |
| Organization Name | SANGLAN PEDIATRIC SURGERY LLC |
| Practice Address |
735 Ave Ponce De Leon Clinicas Pediatricas Hospital Auxilio Mutuo San Juan PR 00917-0000 |
| Mailing Address |
100 Carr 842 Apt 011 San Juan PR 00926-9624 |
| Practice Telephone | 7877582000 |
| Mailing Telephone | 7872990987 |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-10-11 |
| Authorized Official Name | CARLOS FELIPE SANCHEZ GLANVILLE (PRESIDENT) |
| Authorized Official Telephone | 7872990987 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
18284 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
735 AVE PONCE DE LEON CLINICAS PEDIATRICAS HOSPITAL AUXILIO MUTUO |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00917-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912900093 | Ismael Torres Rosario | Internal Medicine | 735 Ave Ponce De Leon, Ste 408, San Juan, PR 00917-5025 | 2005-05-23 |
| 1699309161 | Oncology & Body Imaging Psc | Radiology | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2020-02-24 |
| 1881181394 | Leduard Leon Pons Sr. | Student in an Organized Health Care Education/Training Program | 735 Ave Ponce De Leon, San Juan, PR 00917-5022 | 2018-04-19 |
| 1326598426 | Gi Med Consulting LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste 816, San Juan, PR 00918 | 2016-10-12 |
| 1407223308 | Dra Lilliana Ramirez Garcia P.s.c. | Dermatology | 735 Ave Ponce De Leon, Suite 209, San Juan, PR 00917-5022 | 2015-08-26 |
| 1962885871 | Specialized Medical Group Inc | Internal Medicine | 735 Ave Ponce De Leon, Suite 715, San Juan, PR 00917-5022 | 2015-07-09 |
| 1366821126 | Ym Gastro LLC | Internal Medicine | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo 707, San Juan, PR 00917-5022 | 2015-05-27 |
| 1639568132 | Liz M Betancourt | Psychologist | 735 Ave Ponce De Leon, Torre Medica De Auxlio Mutuo Suite 203, San Juan, PR 00917 | 2015-01-21 |
| 1396143673 | Optica Visual Corner | Eyewear Supplier (Equipment, not the service) | 735 Ave Ponce De Leon, Torre Medica Auxilio Mutuo Ste. 25, San Juan, PR 00917-5022 | 2014-12-18 |
| 1467859751 | Renal Medical Care | Clinic/Center | 735 Ave Ponce De Leon, Suite 814, San Juan, PR 00917-5022 | 2014-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805744 | Enox E Alvarez-garcia | Acupuncturist | 229 Calle Juan P. Duarte Oficina 2a, Altos Cooperativa Hermanos Unidos, San Juan, PR 00917 | 2020-09-09 |
| 1427662881 | Nelly Alfonsina Cetraro | Student in an Organized Health Care Education/Training Program | Goberndor Pinero, Centro Medico De Puerto Rico, Bo. Monacillos., San Juan, PR 00917 | 2020-09-03 |
| 1912520834 | Yolanda Alvarez Pando | Student in an Organized Health Care Education/Training Program | 715 Ave Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-27 |
| 1295358240 | Orestes Quinones | Student in an Organized Health Care Education/Training Program | 715 Ave. Juan Ponce De Leon Pda 37.5, Hato Rey, PR 00917 | 2020-05-26 |
| 1992330831 | Ernie Diaz Rivera | Student in an Organized Health Care Education/Training Program | Condominio Floral Plaza, Apt 1203, Calle Los Pinos 429, San Juan, PR 00917 | 2020-03-11 |
| 1235763368 | Gisela Robles | Pharmacist | Mcs Healthcare Holdings, LLC, 255 Avenida De La Construccion, San Juan, PR 00917 | 2020-02-27 |
| 1144854530 | Marangelly Delgado-lopez | Student in an Organized Health Care Education/Training Program | Ave. Americo Miranda Bo. Monacillos, Predios Centro Medico, San Juan, PR 00917 | 2020-02-25 |
| 1467090472 | Rafael Rivera | Psychologist | Ponce De Leon Ave. #435, Hato Rey, San Juan, PR 00917 | 2019-12-20 |
| 1801432372 | Ruth E Arias Sr. | Nutritionist | Bda Buena Vista Calle D, 261, San Juan, PR 00917 | 2019-11-20 |
| 1437702032 | Lydia L Figueroa | Pediatrics | Ave Americo Miranda Bo Monacillos Hmsj, Educacion Medica Graduada 2do Piso, San Juan, PR 00917 | 2019-07-23 |
| Find all providers in zip 00917 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902265887 | Puerto Rico Pediatric Surgery Group Psc | Surgery | 76 Calle Aquamarina, San Juan, PR 00926-7067 | 2016-02-19 |
| 1881841260 | Pediatric Surgical Services Psc | Surgery | San Jorge Hospital Medical Office Building #301, San Juan, PR 00912 | 2008-08-27 |
| 1205030988 | Jorge J. Zequeira Diaz | Surgery | Cirugia Pediatrica Rcm, Hospital Pediatrico Universitario Centro Medico De Pr, San Juan, PR 00935 | 2007-06-14 |
| 1144345315 | Teresita A. Aviles - Rodriguez | Surgery | Cirugia Pediatrica Segundo Piso, Hospital Pediatrico Universitario, Centro Medico De Pr, San Juan, PR 00935-0001 | 2007-03-20 |
| 1255487930 | Aurelio Segundo | Surgery | 252 San Jorge Ave., Suite 301, San Juan, PR 00912 | 2007-01-26 |
| 1588666770 | Ivan Figueroa-otero | Surgery | 252 Calle San Jorge, Ste 407, San Juan, PR 00912-3310 | 2005-06-01 |
| 1811067580 | Recinto De Ciencias Medicas | Surgery | Centro Medico De Pr, Edif Principal Escuela De Medicina Aptdo. 29134, San Juan, PR 00929-0134 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150680 | Pediatric & General Surgery LLC | Surgery | 410 Ave Hostos Ste 123, Mayaguez, PR 00682-1560 | 2020-09-30 |
| 1639625783 | Astrid Rocio Soares Medina | Surgery | 2 Carr Puerto Rico, Av Hostos 410 Bo Sabalos Suite 116, Mayaguez, PR 00681-0000 | 2016-08-29 |
| 1114122207 | David John Calvesbert | Surgery | Na6 Calle Miramonte, Garden Hills, Guaynabo, PR 00966-2009 | 2007-06-19 |
| 1689891160 | Centro Medico Del Turabo Inc | Surgery | Hima San Pablo Caguas Cepa, Ave Luis Munoz Marin Primer Piso, Caguas, PR 00725 | 2007-04-19 |
| 1689663619 | Vidal Rosario Leon | Surgery | 108 Calle Jose C. Vazquez, Aibonito, PR 00705 | 2005-10-21 |
| 1275527780 | Victor N. Ortiz - Justiniano | Surgery | Puerto Rico Childrens Hospital Ofic. 302, Carr Num. 2 Km 11.7 Edif. Medical Plaza, Bayamon, PR 00960 | 2005-09-12 |
| 1568495190 | Centro De Cirugia Pediatrica | Surgery | Saint Lukes Memorial Hospital, Mercedita, PR 00715-0244 | 2006-07-08 |
| 1285602987 | Humberto Lugo Vicente | Surgery | 73 Calle Santa Cruz, Suite 309, Santa Cruz Medical Bldg., Bayamon, PR 00961-6910 | 2006-03-09 |
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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.