Provider Demographics
NPI:1740409580
Name:ORIENTAL PEDIATRICS EMERGENCY SERVICES, INC.
Entity Type:Organization
Organization Name:ORIENTAL PEDIATRICS EMERGENCY SERVICES, INC.
Other - Org Name:OPES, CORP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:R
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD MHSA
Authorized Official - Phone:787-863-0505
Mailing Address - Street 1:ESTANCIAS DE SAN FERNANDO
Mailing Address - Street 2:STREET #4 B-17
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-863-0505
Mailing Address - Fax:
Practice Address - Street 1:GENERAL VALERO AVE. KM. 2.6
Practice Address - Street 2:ROAD #194 BUILDING #404
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-863-0505
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency MedicineGroup - Single Specialty