CARLOS J BOURDONY-BAEZ (NPI# 1245225614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245225614 |
| Entity Type | Individual |
| Full Name | CARLOS J BOURDONY-BAEZ |
| Credential | MD |
| Practice Address |
258 Calle San Jorge Suite 205 San Jorge Children Hospital Tower San Juan PR 00909-1900 |
| Mailing Address |
Po Box 11021 San Juan PR 00910-2121 |
| Practice Telephone | 7874337334 |
| Practice Fax Number | 7877276550 |
| Mailing Telephone | 7874337334 |
| Mailing Fax Number | 7877276550 |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2016-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
4120 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
258 CALLE SAN JORGE SUITE 205 SAN JORGE CHILDREN HOSPITAL TOWER |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00909-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467713 | Stephanie Maldonado | Specialist | Condominio Asia, 1503 Calle Prof. Augusto Rodriguez, Suite 600, San Juan, PR 00909 | 2020-11-04 |
| 1588262893 | The Auffant Recruitment Group, Inc | Nursing Care | 312 Jose De Diego Avenue, Suite 601, San Juan, PR 00909 | 2020-10-09 |
| 1538766118 | Jose Gilberto Agosto | Pharmacy Technician | 1507 Calle Augusto Rodriguez, San Juan, PR 00909 | 2020-10-06 |
| 1629682125 | Grupo Med | Hospitalist | First Federal Building Suite 302, 1519 Ave Ponce De Leon, San Juan, PR 00909 | 2020-09-02 |
| 1053934992 | Abigail Hernandez | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez Condominio Asia, Suit 600, San Juan, PR 00909 | 2020-05-27 |
| 1477186062 | We Bones | Durable Medical Equipment & Medical Supplies | Ponce De Leon 1612 1er Piso Oficinai/2, San Juan, PR 00909 | 2020-02-21 |
| 1790335602 | Hamid Corp | Pharmacy | 615 Ave. Manuel Pavia, San Juan, PR 00909 | 2019-09-13 |
| 1629625850 | Ian Javier Vazquez | Dietitian, Registered | 1456 Calle Prof. Augusto Rodriguez, San Juan, PR 00909 | 2019-08-22 |
| 1083277966 | Gerald Manuel Garcia Rivera | Registered Nurse | 1503 Calle Prof. Augusto Rodriguez, Cond. Asia, Suite 600, San Juan, PR 00909 | 2019-04-17 |
| 1659839264 | Carla Ortiz | Naturopath | 1511 Avenida Juan Ponce De Leon, San Juan, PR 00909 | 2019-03-04 |
| Find all providers in zip 00909 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003940149 | Yanira L Pagan | Pediatrics | 258 San Jorge, Suite 206, San Juan, PR 00912 | 2007-03-14 |
| 1356326250 | Fermin A Sanchez-lugo | Pediatrics | 1028 Fd Roosevelt Ave., Puerto Nuevo, San Juan, PR 00920 | 2005-12-13 |
| 1952572067 | Michelle J Gomez Cruz | Pediatrics | San Juan City Hospital, Pmb #498 70344, San Juan, PR 00936-8344 | 2008-03-17 |
| 1437353356 | Carlos Alberto Leyva | Pediatrics | 369 Calle De Diego, Suite 209, San Juan, PR 00923-3003 | 2007-06-13 |
| 1770638306 | Ppmi-rcm | Pediatrics | Ave Americo Miranda Aptdo. 29134 Centro Medico De Pr, Edif. Principal Escuela De Medicina, San Juan, PR 00929-0134 | 2007-01-24 |
| 1306915657 | Recinto De Ciencias Medicas | Pediatrics | Centro Medico De Pr, Edif. Principal Escuela De Medicina Aptdo. 29134, San Juan, PR 00929-0134 | 2006-11-08 |
| 1538197512 | Lilliam L. Gonzalez - Jove | Pediatrics | University Pediatric Hospital, Floor 2 -office 1 A 29, San Juan, PR 00936 | 2006-06-29 |
| 1740217124 | Francisco Nieves-rivera | Pediatrics | University Pediatric Hospital, Department of Pediatrics Office 1-a29 1st Floor, San Juan, PR 00936-5067 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901514 | Kids Endo Pr | Pediatrics | 9 Ave Las Cumbres Ste 14, Guaynabo, PR 00969-4833 | 2019-09-19 |
| 1700099587 | Centro Medico Del Turabo Inc | Pediatrics | Ave Luis Munoz Marin Urb Mariolga, Hima San Pablo Caguas, Caguas, PR 00725 | 2007-05-08 |
| 1912002361 | Miriam Noelia Alicea-rodriguez | Pediatrics | Calle Munoz Marin, Esq Miguel Casillas #50, Humacao, PR 00791 | 2006-09-13 |
| 1013021252 | Carmen A Saenz | Pediatrics | Hospital Menonita Cayey, Suite 309 Edificio Profesional, Cayey, PR 00736 | 2006-08-17 |
| 1306871140 | Juan J Maldonado | Pediatrics | Calle Dr. Cueto # 69, Suite #1, Utuado, PR 00641 | 2006-07-11 |
| 1174589139 | Adanette Wiscovitch | Pediatrics | Ponce De Leon Ave Auxilio Mutuo, Pda 37 1/2, Hato Rey, PR 00923 | 2006-04-26 |
| 1316911175 | Angel Luis Solla-velez | Pediatrics | General Valero 303, Suite 103, Fajardo, PR 00738 | 2006-02-16 |
| 1023096039 | Carmen E Sanchez | Pediatrics | Urb Industrial Reparada Calle Ana D Perez Marchand, Ponce School of Medicine, Ponce, PR 00732 | 2006-01-09 |
| 1497766018 | Univ. Central Del Caribe | Pediatrics | Avenida Laurel, Esquina Santa Juanita #100, Bayamon, PR 00960 | 2006-08-10 |
| 1831173723 | Rebecca Ines Saenz | Pediatrics | 258 Calle San Jorge, San Jorge Medical Building Suite 306, Santurce, PR 00912-3239 | 2005-12-03 |
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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.