PEDIAMED


Address: Carretera #172, Hospital San Juan Bautista, Caguas, PR 00726
Phone: 7877301166

PEDIAMED (NPI# 1710196209) 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) 1710196209
Entity Type Organization
Organization Name PEDIAMED
Practice Address Carretera #172
Hospital San Juan Bautista
Caguas
PR 00726
Mailing Address Calle Begonia 162
Ciudad Jardin 2
Toa Alta
PR 00953
Practice Telephone 7877301166
Practice Fax Number 7877301166
Enumeration Date 2007-05-21
Last Update Date 2020-08-22
NPI Deactivation Date 07/17/2007
NPI Reactivation Date 2007-10-11
Authorized Official Name DR. JUAN CARLOS DEL RIO ROURE (PRESIDENT)
Authorized Official Telephone 7877301166
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
10285 PR Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Connecticut Business Registrations PEDIAMED PHARMACEUTICALS, INC. 7310 Turfway Road, Suite 490, Florence, KY 41042
New York State Corporations PEDIAMED PHARMACEUTICALS, INC. 7310 Turfway Road Suite 490, Florence, Ky 41042

Office Location

Street Address CARRETERA #172
HOSPITAL SAN JUAN BAUTISTA
City CAGUAS
State PR
Zip Code 00726

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NPI Name Taxonomy Address Enumeration
1881294312 Orialis Lebron Psychologist P-3 Urb Bairoa, Ave Velazquez, Caguas, PR 00726 2020-10-26
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1497353791 Clinica Medicina Primaria Y Preventiva Dr Angel M Ortiz Ortega Clinic/Center Bo Tomas De Castro 2, Carr 183 Km 4.8, Caguas, PR 00726 2020-10-09
1801402359 Roberto Torres Registered Nurse Consolidated Mall Anexo B5, Caguas, PR 00726 2020-09-21
1215543269 Laurie Michelle Rodriguez Rodriguez Student in an Organized Health Care Education/Training Program Salida 21 Carr. 172, Urb. Turabo Gardens, Caguas, PR 00726 2020-09-16
1619587458 Andrea Carolina Collazo-fonseca Student in an Organized Health Care Education/Training Program Urb. Vista Real 1, Calle Canaboncito, Caguas, PR 00726 2020-08-06
1619595667 Sonjai Marie Rosario-vicente Chiropractor C8 Ave. Gautier Benitez, Consolidated Mall, Caguas, PR 00726 2020-07-07
1104440346 Ninoshka Marie Caballero Colon Student in an Organized Health Care Education/Training Program Carr 172 K5 Sector La Sierra, Caguas, PR 00726 2020-06-03
1265053847 Lianette Marie Santiago Speech-Language Pathologist Carretera 172 Anexo Hospital Menonita, Caguas, PR 00726 2020-05-05
1447886650 Kiara Griselle Rivera-guevara General Practice Salida 21 Carr. 172 Urb. Turabo Gardens, Caguas, PR 00726 2020-03-19
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1548398415 Servicios De Medicina Integrada P.s.c. Clinic/Center Ave. Luis Munoz Marin X 14 Urb. Mariolga, Caguas, PR 00725 2007-03-01
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1760840821 Tiger Med Mcs-a Clinic/Center 3 Calle Munoz Rivera, Caguas, PR 00726-2602 2016-02-04
1174940191 Tiger Med, Corp - Extra Care Clinic/Center 3 Calle Munoz Rivera, Caguas, PR 00725-0000 2014-03-27
1821369612 Centro Medico Del Turabo Inc Clinic/Center Centro Comercial Los Prados, Gran Boulevard Los Prados, Local Y-4, Caguas, PR 00725 2012-01-25
1710107883 Centro Medico Del Turabo Inc Clinic/Center Hima San Pablo Caguas, Urb Mariolga #100 Ave Luis Munoz Marin, Caguas, PR 00725 2007-04-30

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Competitor

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City CAGUAS
Zip Code 00726

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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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