PEDIATRIC PROFESSIONALS, CSP


Address: 1 Ave Campinas De Navarro, Urb Campinas De Navarro, Gurabo, PR 00778-5500
Phone: 7879247575

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1 AVE CAMPINAS DE NAVARRO
URB CAMPINAS DE NAVARRO
City GURABO
State PR
Zip Code 00778-5500

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

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.

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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
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Competitor

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City GURABO
Zip Code 00778

Improve Information

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Dataset Information

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.

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