Active NPI
Servicios Pediatricos Salud Dando a Mis Ninos
- Specialist
- Humacao, PR
National Provider Identifier
1063754521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 9514
- Legal business name
- SERVICIOS PEDIATRICOS SALUD DANDO A MIS NINOS
- Practice address
- Calle Ulises Martinez #52
Humacao, PR 00791 - Phone
- (787) 852-3283
- NPI assigned
- Mar 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wanda I Agosto, M.D.
- Title
- Ceo
- Phone
- (787) 852-3283
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 9514 | PR | Primary |
Addresses
Primary practice location
Calle Ulises Martinez #52
Humacao, PR 00791
Mailing address
PO Box 8754
Humacao, PR 00792-8754
National Provider Directory
National Provider DirectoryLocations
52 Calle Ulises Martinez N
Humacao, PR 00791
Phone (787) 852-3283
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Humacao, PR
- NPI 1588707244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363910400000",
"number": "1063754521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8754",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007928754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE ULISES MARTINEZ #52",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-852-3283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICIOS PEDIATRICOS SALUD DANDO A MIS NINOS",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-22",
"last_updated": "2013-03-22",
"status": "A",
"authorized_official_last_name": "AGOSTO",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "787-852-3283",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "PR",
"license": "9514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
- Pablo Serrano, M.D.
- Servicios Anatomico Patologicos Oriental, Inc. (Laboratorio Clinico Patologico Sevilla)
- Servicios de Terapia Fisica Aic, CSP
- Servicios Dentales PSC
- Servicios Medicos RRG & Asoc PSC
- Servicios Terapeuticos Neurofoni LLC
- Shaddai Pharmacy #2 Inc
- Shaddai Pharmacy Inc.
- Jessica Sifuentes Carrasquillo, MD
- Tamara Silva Gonzalez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.