Grupo Pediatrico Cidreno, CSP

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

GRUPO PEDIATRICO CIDRENO, CSP

Practice address

121 Calle Jose de Diego
Suite 3
Cidra, PR 00739-3243

Phone

(787) 739-8295

Fax

(787) 739-3588

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Caceres, MD

Title

President

Phone

(787) 739-8295

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carlos R Caceres Roure, MD

  • Pediatrics Physician
  • Cidra, PR
  • NPI 1518936293
  NPD (past)
• Edwin Velazquez, MD

  • Pediatrics Physician
  • Cidra, PR
  • NPI 1245209923
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1023367463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6030",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007266030",
            "telephone_number": "787-739-8295",
            "fax_number": "787-739-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 CALLE JOSE DE DIEGO",
            "address_2": "SUITE 3",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393243",
            "telephone_number": "787-739-8295",
            "fax_number": "787-739-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO PEDIATRICO CIDRENO, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-739-8295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grupo Medico Centro Medicina Especializada
• Grupo Medico Centro Medicina Especilizada
• Grupo Medico de Cidra, Inc.
• Grupo Medico Medicina Especializada
• Grupo Medico Rabanal LLC
• Cristina Caridad Gutierrez Hernandez, LND
• H.a.Z. Health Services Inc.
• Hablemos Centro de Habilitacion Y Rehabilitacion del Habla-Lenguajecrl
• Healing Hands Inc
• Christian E Hernandez Cuevas, M.D.

• Specialist in Cidra, PR
• Providers in Cidra, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.