PEDIATRIC ORTHOPEDICS OF PUERTO RICO (NPI# 1053962514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053962514 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC ORTHOPEDICS OF PUERTO RICO |
| Practice Address |
410 Avenida Hostos Carr #2 Km 157 Suite 117 Mayaguez PR 00680 |
| Mailing Address |
Po Box 3073 Mayaguez PR 00681-3073 |
| Practice Telephone | 7874780782 |
| Mailing Telephone | 7874780782 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | ERNESTO JOSE DEL VALLE HERNANDEZ (PRESIDENT) |
| Authorized Official Telephone | 7874780782 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
410 AVENIDA HOSTOS CARR #2 KM 157 SUITE 117 |
| City | MAYAGUEZ |
| State | PR |
| Zip Code | 00680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668720 | Antenor Xavier Aviles | Family Medicine | Carretera 349, Km 2.7, Mayaguez, PR 00680 | 2020-10-27 |
| 1053919027 | Eyda Yesmin Inigo | Psychologist | Urb. Colinas De Alturas De Mayaguez 2020, Mayaguez, PR 00680 | 2020-10-13 |
| 1033717343 | Yalizeth Katiuska Rivera Gonzalez | Psychologist | Carr 348 Km 7.2, Bo Rosario, Mayaguez, PR 00680 | 2020-10-09 |
| 1699372797 | Stephanie Hernandez | Psychologist | Medical Center Plaza 740 Ave. Hostos, Suite 213, Mayaguez, PR 00680 | 2020-10-02 |
| 1346855863 | Victor Ramon Madera | Assisted Living Facility | Avenida Ramon Arbona 1050, Barrio Sabalos, Mayaguez, PR 00680 | 2020-09-11 |
| 1396358479 | Meddyg Group LLC | General Practice | 7 Calle Ramon Emeterio Betnaces, Esquina De Diego, Mayaguez, PR 00680 | 2020-08-28 |
| 1275146631 | Tatiana Velez-burgos | Dietitian, Registered | Rd 348 Km 3.0 Interior, Bo. Quebrada Grande, Mayaguez, PR 00680 | 2020-08-26 |
| 1962013441 | Yeileen Concepcion Hernandez | Psychologist | Edif. Centro Del Oeste, Calle Relampago #70 Oficina 104, Mayaguez, PR 00680 | 2020-08-10 |
| 1245840461 | Natasha Mederos Rocha | Student in an Organized Health Care Education/Training Program | Urb. Los Versalles Calle Reina #2209, Mayaguez, PR 00680 | 2020-08-03 |
| 1255957908 | Alexander Enrique Benitez Rodriguez | General Practice | Carr. 106 Km. 13.8 Bo. Naranjales, Mayaguez, PR 00680 | 2020-06-18 |
| Find all providers in zip 00680 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841421096 | Huesos Chicos Csp | Orthopaedic Surgery | Carr #2 Km 47.8, Hospital Doctor's Center, Manati, PR 00674 | 2009-08-06 |
| 1124234323 | Rafael Morales-fernandez | Orthopaedic Surgery | 243 Calle Himalaya, Monterey, San Juan, PR 00926-1415 | 2007-05-15 |
| 1881156016 | Caribbean Pediatric Orthopaedics LLC | Orthopaedic Surgery | 258 Calle San Jorge, Santurce, PR 00912 | 2019-04-05 |
| 1609133206 | Fernandez Lopez Orthopedic Services Psc | Orthopaedic Surgery | Carimed Plz, B1 Santa Cruz St., Bayamon, PR 00961-6928 | 2012-04-19 |
| 1447225776 | Samuel A. Fernandez Lopez | Orthopaedic Surgery | Carimed Plz, B-1 Calle Santa Cruz Suite 403-404, Bayamon, PR 00961-6928 | 2006-02-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.