Provider Demographics
NPI:1154487155
Name:GRUPO NEONATAL C.S.P.
Entity Type:Organization
Organization Name:GRUPO NEONATAL C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVARO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTAELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-653-3434
Mailing Address - Street 1:PO BOX 660
Mailing Address - Street 2:AVE WINSTON CHURCHILL 138
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-0660
Mailing Address - Country:US
Mailing Address - Phone:787-653-3434
Mailing Address - Fax:787-272-3493
Practice Address - Street 1:138 AVE WINSTON CHURCHILL
Practice Address - Street 2:MSC 660 EL SENORIAL MAIL STATION
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6013
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:787-272-3493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty