Active NPI
Centro de Pediatria Integrado
- Primary Care Clinic/Center
- Bayamon, PR
National Provider Identifier
1124522347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 13803
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glory Marie Serrano, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pediatrics Physician
- Bayamon, PR
- NPI 1699744805
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
- Centro de Hematologia Y Oncologia Medica
- Centro de Imagenes Rio Hondo
- Centro de Medicina Natural Y Regenerativa LLC
- Centro de Medicina Primaria Bayamon Inc
- Centro de Patologia Avanzada de PR CSP
- Centro de Rehabilitacion Y Medicina del Deporte
- Centro de Salud Medicina Ocupacional Integral, PSC
- Centro de Servicios de Salud de Bayamon
- Centro de Servicios Medicos Integrados
- Centro de Servicios Medicos Miraflores
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.