| NPI | 1528046075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY CHINEA Provider Enrollment Associate 787-999-0753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| 207PP0204X Emergency Medicine, Pediatric Emergency Medicine | |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology | |
| 2080P0210X Pediatrics, Pediatric Nephrology | |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2015-07-24 |