Provider Demographics
NPI:1518043413
Name:MANATI PEDIATRICS CENTER
Entity Type:Organization
Organization Name:MANATI PEDIATRICS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIO GESTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ-DONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-854-5211
Mailing Address - Street 1:PO BOX 1393
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1393
Mailing Address - Country:US
Mailing Address - Phone:787-854-5211
Mailing Address - Fax:787-790-1534
Practice Address - Street 1:27 CALLE 21 URBANIZACIN FLAMBOYAN
Practice Address - Street 2:
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-5211
Practice Address - Fax:787-790-1534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty