CENTRO DE MEDICINA PEDIATRICA DEL NORTE (NPI# 1811286263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811286263 |
| Entity Type | Organization |
| Organization Name | CENTRO DE MEDICINA PEDIATRICA DEL NORTE |
| Practice Address |
Pmb 513 Box 819 Lares PR 00669 |
| Practice Telephone | 7872035558 |
| Practice Fax Number | 7878972521 |
| Mailing Telephone | 7872035558 |
| Mailing Fax Number | 7878972521 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | DR. WILLIE NELSON MALAVE (PRESIDENT) |
| Authorized Official Telephone | 7872035558 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
9721 | PR | Ambulatory Health Care Facilities |
| Street Address |
PMB 513 BOX 819 |
| City | LARES |
| State | PR |
| Zip Code | 00669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699390252 | Stephanie Quiles Villanueva | Psychologist | Carretera Ramal 111 Km 0.7, Edificio Lares Office Center, Lares, PR 00669 | 2020-06-10 |
| 1861013161 | Caribbean Health Solution | General Practice | Carr 129 Km 25.4, Lares, PR 00669 | 2020-04-28 |
| 1427686641 | Andy Vega | Student in an Organized Health Care Education/Training Program | Pr 124 Km 22 Hm 4 Bo. Espino, Lares, PR 00669 | 2020-04-01 |
| 1699300921 | Luz Miriam Velez Roman | Pharmacist | Carr. 111 Km 2.9, Ave. Los Patriotas, Lares, PR 00669 | 2020-03-06 |
| 1003446741 | Jose A. Romero Carrero | Pharmacist | Carr.129 Int. Carr.111 Km 23.2 Cruce Mijan, Lares, PR 00669 | 2020-01-22 |
| 1053958256 | Rigoberto Gonzalez Perez | Pharmacist | Centro De Salud De Lares Inc. Carr. 111 Km. 1.9, Lares, PR 00669 | 2019-12-06 |
| 1679118509 | Zulma Roman Perez | Registered Nurse | Campo Alegre 77 Calle Los Pinos, Lares, PR 00669 | 2019-11-14 |
| 1720635543 | Daylin Guerrero Caballero | General Practice | Carretera 129, Km 23.4, Sector Arroyo, Barrio Piletas, Lares, PR 00669 | 2019-08-26 |
| 1346801750 | Jose Enrique Sarazu | Psychologist | Ave. Los Patriotas 501, Lares, PR 00669 | 2019-06-26 |
| 1548820160 | Wilson Gabriel Velez-perez | Student in an Organized Health Care Education/Training Program | Car 129 Int 4453 Km 1.8 Piletas Arce, Lares, PR 00669 | 2019-06-17 |
| Find all providers in zip 00669 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1912367772 | Servicios Medicos Pediatricos | Clinic/Center | 17 Main and Calle Cibeles, El Retiro Housing, San German, PR 00683-4459 | 2016-03-07 |
| Find all providers with the same taxonomy | ||||
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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.