Provider Demographics
NPI:1386037083
Name:CENTRO PEDIATRICO HRP,C.S.P
Entity type:Organization
Organization Name:CENTRO PEDIATRICO HRP,C.S.P
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:CANDIDO
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-256-2045
Mailing Address - Street 1:65 CALLE CALDERON MUJICA
Mailing Address - Street 2:
Mailing Address - City:CANOVANAS
Mailing Address - State:PR
Mailing Address - Zip Code:00729-3127
Mailing Address - Country:US
Mailing Address - Phone:787-256-2045
Mailing Address - Fax:
Practice Address - Street 1:65 CALLE CALDERON MUJICA
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3127
Practice Address - Country:US
Practice Address - Phone:787-256-2045
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11582261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty