Active NPI
Pediatric Walk-in Clinic
- Medical Specialty Clinic/Center
- Dorado, PR
National Provider Identifier
1164525226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 13612
- Legal business name
- PEDIATRIC WALK-IN CLINIC
- Practice address
- Calle Ext Sur 503
Dorado, PR 00646 - Phone
- (787) 796-2994
- Fax
- (787) 796-2994
- NPI assigned
- Sep 6, 2006
- 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. Fernando Vega, MD
- Title
- President
- Phone
- (787) 796-2994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 13612 | PR | Primary |
Addresses
Primary practice location
Calle Ext Sur 503
Dorado, PR 00646
Mailing address
PO Box 644
Dorado, PR 00646-0644
Phone (787) 796-2994
National Provider Directory
National Provider DirectoryPractitioners & 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
- Dorado, PR
- NPI 1497714745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164525226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 644",
"city": "DORADO",
"state": "PR",
"postal_code": "006460644",
"telephone_number": "787-796-2994",
"fax_number": "787-796-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CALLE EXT SUR 503",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-796-2994",
"fax_number": "787-796-2994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC WALK-IN CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VEGA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-796-2994",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "PR",
"license": "13612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.