PEDIATRIC PROFESSIONALS, CSP (NPI# 1366863698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366863698 |
Entity Type | Organization |
Organization Name | PEDIATRIC PROFESSIONALS, CSP |
Practice Address |
1 Ave Campinas De Navarro Urb Campinas De Navarro Gurabo PR 00778-5500 |
Mailing Address |
Po Box 8549 Caguas PR 00726-8549 |
Practice Telephone | 7879247575 |
Practice Fax Number | 7879247575 |
Mailing Telephone | 7879247575 |
Mailing Fax Number | 7879247575 |
Enumeration Date | 2014-01-06 |
Last Update Date | 2016-01-27 |
Authorized Official Name | DR. MILAGROS T REYES MORA (PRESIDENTE) |
Authorized Official Telephone | 7879247575 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
Street Address |
1 AVE CAMPINAS DE NAVARRO URB CAMPINAS DE NAVARRO |
City | GURABO |
State | PR |
Zip Code | 00778-5500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356942866 | Betsy Garcia Gomez | Naturopath | Carr 181 Km 17 H8 Bo Masas 2 Sector Los Borias, Gurabo, PR 00778 | 2020-11-03 |
1679174296 | Linoshka Rivera | Naturopath | #17 Calle Verde Luz Urb. Preciosa, Gurabo, PR 00778 | 2020-11-02 |
1265031389 | Susmary Perez | Social Worker | Urbanization Campamento, Street 5 #2, Gurabo, PR 00778 | 2020-10-20 |
1609488006 | Andrea Paola Pereira Rodriguez | Student in an Organized Health Care Education/Training Program | Sabanera Del Rio #39, Camino De Las Azucenas, Gurabo, PR 00778 | 2020-08-18 |
1437761822 | Kimberly Velazquez Rodriguez | Student in an Organized Health Care Education/Training Program | Urb. Veredas, Camino De Los Cedros #743, Gurabo, PR 00778 | 2020-08-18 |
1235748724 | Nicole Marialis Torres Rosado | Speech-Language Pathologist | Condominio Caminito Alto, Apartment 231, Gurabo, PR 00778 | 2020-07-30 |
1700401684 | Stephanie Marie Rosario Batista | Student in an Organized Health Care Education/Training Program | 941 Salida Bo. Jaguas Calle, Gurabo, PR 00778 | 2020-06-16 |
1215565403 | Jorge Gustavo Arroyo | Student in an Organized Health Care Education/Training Program | Urb. Veredas #545 Calle 51, Gurabo, PR 00778 | 2020-04-01 |
1417583782 | Veronica Lopez | Rehabilitation Counselor | Urb Veredas Camino Los Jazmines, 625, Gurabo, PR 00778 | 2020-03-19 |
1194351940 | Deborah Mendez Gines | General Practice | Praderas Mall, Gurabo, PR 00778 | 2020-03-12 |
Find all providers in zip 00778 |
Taxonomy Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598375644 | Health Preventive and Emergency Services Psc | Emergency Medicine | Ofic 105 207 Calle Manuel Domenech, San Juan, PR 00918-0091 | 2020-08-04 |
1598398943 | Emergency Medical Consultants Group - Emcg Inc | Emergency Medicine | 159 Calle Quinto Centenario, Luquillo, PR 00773-2319 | 2020-02-13 |
1467016287 | Heart Ems | Emergency Medicine | 1608 Calle Bori St 202, Edificio La Electronica, San Juan, PR 00926-0092 | 2019-04-26 |
1598228074 | Moises E Velazquez | Emergency Medicine | 288 Calle 4, Trujillo Alto, PR 00976-2919 | 2019-04-10 |
1285140616 | Premier Health Care LLC | Emergency Medicine | 272 Calle 1, Puerto Nuevo Ne, San Juan, PR 00920 | 2017-12-21 |
1497274286 | Capitol Clinical Comprehensive LLC | Emergency Medicine | 703 Calle Victor Lopez, San Juan, PR 00909-2843 | 2017-09-13 |
1427579168 | Policlinica Familiar Shalom Inc | Emergency Medicine | Carr 2 Km 101.6 Calle Marginal Del Parque, Bo Terranova, Quebradillas, PR 00678 | 2017-07-03 |
1326595752 | Javier Ivan Pacheco | Emergency Medicine | E35 Calle 2, Urb Los Rosales, Humacao, PR 00791-3105 | 2016-09-01 |
1730528274 | Jfj Medical LLC | Emergency Medicine | 10 Villa Angela, 6, Arecibo, PR 00612-9687 | 2013-06-18 |
1598057374 | Aguada Medical Center Inc. | Emergency Medicine | Carretera 115, Km 24.5 Barrio Asomante, Aguada, PR 00602 | 2011-05-11 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on PEDIATRIC PROFESSIONALS, CSP.
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.