Pediatric Medical Home Center, Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

Legal business name

PEDIATRIC MEDICAL HOME CENTER, INC

Practice address

E1 Calle Garfield
Parkville Sur
Guaynabo, PR 00969-4415

Phone

(787) 242-8990

Fax

(787) 200-6712

NPI assigned

Jul 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Irvin D Valentin, MBA

Title

President

Phone

(787) 242-8990

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Medical Home Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436400000000",
    "number": "1003299934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E1 CALLE GARFIELD",
            "address_2": "PARKVILLE SUR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694415",
            "telephone_number": "787-242-8990",
            "fax_number": "787-200-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E1 CALLE GARFIELD",
            "address_2": "PARKVILLE SUR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694415",
            "telephone_number": "787-242-8990",
            "fax_number": "787-200-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC MEDICAL HOME CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2015-07-09",
        "status": "A",
        "authorized_official_last_name": "VALENTIN",
        "authorized_official_first_name": "IRVIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-242-8990",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Medical Home",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Agustin Parrilla Santiago, 091B
• Jose Guillermo Pastrana Sr., MD
• Patient Clinical Integrators LLC
• Pda Maxillofacial Surgery LLC
• Valeria Maria Pecunia, PSYD
• Pediatric Neuroepi LLC
• Pediatrix Caribbean LLC
• Pedro Rodriguez Sola Dentistas CSP
• Juan Alberto Pelaez Palou, MD
• Pedro U Pellot Ramos, 1330P

• Pediatric Skilled Nursing Facility in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Pediatric Skilled Nursing Facility in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.