Provider Demographics
NPI:1942328000
Name:SECCION A NINO CON NECESIDADES ESPECIALES
Entity Type:Organization
Organization Name:SECCION A NINO CON NECESIDADES ESPECIALES
Other - Org Name:CENTRO PEDIATRICO CAGUAS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTORA EJECUTIVA
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:787-771-2100
Mailing Address - Street 1:CENTRO PEDIATRICO CAGUAS
Mailing Address - Street 2:DEPARTAMENTO DE SALUD PO BOX 8548
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8548
Mailing Address - Country:US
Mailing Address - Phone:787-704-7066
Mailing Address - Fax:
Practice Address - Street 1:CENTRO PEDIATRICO CAGUAS
Practice Address - Street 2:PREDIOS DEL HOSP SAN JUAN BAUTISTA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-8548
Practice Address - Country:US
Practice Address - Phone:787-704-7066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR080151OtherOFTALMOLOGO
PRS041OtherPSICOLOGO
PR7250050OtherMEDICOS Y TERAPIAS
PR00433OtherMEDICOS Y TERAPIAS
PR223197OtherMEDICOS Y TERAPIAS
PR3173-5OtherTERAPIAS Y PEDIATRA
PR82299OtherNEUROLOGO
PR88415OtherPEDIATRA
PRS039OtherOPH
PR66433481-15OtherMEDICOS
PRS035OtherPEDIATRA
PRS036OtherORTOPEDA
PR060526OtherMEDICOS Y TERAPIAS
PRS038OtherFISIATRA
PR20706OtherFISIATRA
PR3173-1OtherMEDICO GENERAL
PRS037OtherNEUROLOGO
PRS040OtherTERAPIAS
PRS042OtherAUDIOLOGO
PR88415OtherPEDIATRA