Pediatrics Healthcare Providers PSC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9992

Legal business name

PEDIATRICS HEALTHCARE PROVIDERS PSC

Practice address

N25 Calle 3
Villa Venecia
Carolina, PR 00983

Phone

(787) 613-0273

NPI assigned

Jul 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Victor M Montanez, MD1992764617

Title

Presidente

Phone

(787) 447-4835

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033630744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N25 CALLE 3",
            "address_2": "VILLA VENECIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-613-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N25 CALLE 3",
            "address_2": "VILLA VENECIA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-613-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS HEALTHCARE PROVIDERS PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-447-4835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD1992764617"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": "9992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzamar Pastrana, MD
• Vanessa Pastrana
• Pataka Pitiki Clinica de Terapias, LLC
• Pearle Vision Center of Puerto Rico, Inc
• Pearle Vision Center of Puerto Rico, Inc
• Pedro Mercado
• Camila Isabel Pedroza, DMD
• Zulma Carolina Pena Cordero, RN,BSN,SRNA
• Irma I Pena Ortiz, M.D.
• Astrid Pena

• Pediatrics Physician in Carolina, PR
• Providers in Carolina, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.