SERVICIOS MEDICOS PEDIATRICOS


Address: 17 Main and Calle Cibeles, El Retiro Housing, San German, PR 00683-4459
Phone: 7878928899

SERVICIOS MEDICOS PEDIATRICOS (NPI# 1912367772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912367772
Entity Type Organization
Organization Name SERVICIOS MEDICOS PEDIATRICOS
Other Organization Name CSP
Practice Address 17 Main and Calle Cibeles
El Retiro Housing
San German
PR 00683-4459
Mailing Address 17 Calle Cibeles Y Principal
Ext.el Retiro
San German
PR 00683-4459
Practice Telephone 7878928899
Practice Fax Number 7878928899
Mailing Telephone 7878928899
Mailing Fax Number 7878928899
Enumeration Date 2016-03-07
Last Update Date 2016-03-07
Authorized Official Name DR. SOL MARIA GARCIA (CHIEF)
Authorized Official Telephone 7875191764
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
15351 PR Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CSP Other Name - Individual/Organization

Office Location

Street Address 17 MAIN AND CALLE CIBELES
EL RETIRO HOUSING
City SAN GERMAN
State PR
Zip Code 00683-4459

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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NPI Name Taxonomy Address Enumeration
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1396111456 Puerto Rico Inmunization Services Clinic/Center Hc 3 Box 26509, San German, PR 00683-9301 2015-08-12

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Competitor

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City SAN GERMAN
Zip Code 00683

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Dataset Information

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.

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