SECCION A NINOS CON NECESIDADES ESPECIALES

Provider Demographics

• NPI: 1508987983
• Name: SECCION A NINOS CON NECESIDADES ESPECIALES
• Entity Type: Organization
• Organization Name: SECCION A NINOS CON NECESIDADES ESPECIALES
• Other - Org Name: CENTRO PEDIATRICO DE BAYAMON
• 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 - Credentials: MPA
• Authorized Official - Phone: 787-778-4747
• Mailing Address - Street 1: CENTRO PEDIATRICO BAYAMON
• Mailing Address - Street 2: ANTIGUA CASA DE SALUD AVE. LAUREL #100 SANTA JUANITA
• Mailing Address - City: BAYAMON
• Mailing Address - State: PR
• Mailing Address - Zip Code: 00956
• Mailing Address - Country: US
• Mailing Address - Phone: 787-778-4747
• Mailing Address - Fax: 787-786-8615
• Practice Address - Street 1: CENTRO PEDIATRICO BAYAMON
• Practice Address - Street 2: ANTIGUA CASA DE SALUD HOSP. RAMON R ARNADU
• Practice Address - City: BAYAMON
• Practice Address - State: PR
• Practice Address - Zip Code: 00956
• Practice Address - Country: US
• Practice Address - Phone: 787-778-4747
• Practice Address - Fax: 787-778-8615
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-04-03
• Last Update Date: 2020-08-22

Provider Licenses

State	License ID	Taxonomies
PR		261QH0100X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	261QH0100X	Ambulatory Health Care Facilities	Clinic/Center	Health Service

Provider Identifiers

State	Identifier ID	ID Type	Issuer
PR	070051	Other	AUDILOGIA
PR	075174	Other	PSICOLOGO
PR	2441-5	Other	TFISICA, PATOLOHABLA, AUD
PR	53219	Other	SERVICIOS ALIADOS
PR	9560031	Other	MEDICO Y TERAPIAS
PR	P024	Other	AUDIOLOGIA
PR	P043	Other	ORTHOPEDA
PR	S023	Other	PEDIATRA
PR	060525	Other	MEDICO
PR	600322CPB	Other	MEDICO Y TERAPIA
PR	P023	Other	PEDIATRA
PR	P025	Other	FISIOTERAPIA
PR	660433481-6A	Other	AUDIOLOGIA
PR	88740	Other	MEDICO
PR	P026	Other	PSICOLOGO
PR	S025	Other	FISIOTERAPIA
PR	076044	Other	TERAPIA HABLA
PR	660433481-6T	Other	PEDIATRA
PR	S024	Other	AUDILOGIA
PR	P023	Other	PEDIATRA