Organization Active NPI

Centro de Pediatria Integrado

  • Primary Care Clinic/Center
  • Bayamon, PR
National Provider Identifier
1124522347
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13803 Issued in PR
Legal business name
CENTRO DE PEDIATRIA INTEGRADO
Practice address
P63 Ave Santa Juanita
Bayamon, PR 00956-4954
Phone
(787) 288-7920
NPI assigned
Mar 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. Glory Marie Serrano, MDNPI 1699744805
Title
Pediatrician
Phone
(787) 649-8660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 13803 PR Primary

Addresses

Primary practice location

P63 Ave Santa Juanita
Bayamon, PR 00956-4954

Mailing address

PO Box 26
Bayamon, PR 00960-0026
Phone (787) 649-8660

National Provider Directory

National Provider Directory

Locations

P63 Ave Santa Juanita
Bayamon, PR 00956
Phone (787) 288-7920

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1124522347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600026",
            "telephone_number": "787-649-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "P63 AVE SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009564954",
            "telephone_number": "787-288-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE PEDIATRIA INTEGRADO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "GLORY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "787-649-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PR",
            "license": "13803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.