Centro Pediatrico Estrellita Dorada

Organization Active NPI Pediatrics Physician · Vega Alta, PR

NPI 1154896777 · NPPES record last updated Oct 10, 2018

Key facts

NPI
1154896777
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
Legal business name
CENTRO PEDIATRICO ESTRELLITA DORADA
Practice address
Carr 693 KM 14.6
Bo Sabana
Vega Alta, PR 00692
Phone
(787) 473-0242
NPI assigned
Oct 10, 2018
Organization subpart
No

Authorized official

Name
Mirza I Ortiz, MD
Title
Presidenta
Phone
(787) 473-0242

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X Yes

Addresses

Primary practice location

Carr 693 KM 14.6
Bo Sabana
Vega Alta, PR 00692

Mailing address

PO Box 1720
Dorado, PR 00646-1720
Phone (787) 473-0242

Other identifiers

IdentifierTypeStateIssuer
1999OtherPRPEDIATRICO

Other providers in Vega Alta, PR

All providers in Vega Alta, PR · Pediatrics Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.