Organization Active NPI

Little Angels Pediatric Group PSC

  • Pediatric Adolescent Medicine Physician
  • Gurabo, PR
National Provider Identifier
1235271370
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
13537 Issued in PR
Legal business name
LITTLE ANGELS PEDIATRIC GROUP PSC
Practice address
Carr. 931 KM. 5.4
Altos Suite #2 Bo. Navarro
Gurabo, PR 00778
Phone
(787) 747-0300
Fax
(787) 747-0300
NPI assigned
Feb 13, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michelle Moringlane, M.D.
Title
Pediatritian
Phone
(787) 747-0300

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 11228 PR
Pediatric Adolescent Medicine Physician 2080A0000X 13537 PR Primary

Addresses

Primary practice location

Carr. 931 KM. 5.4
Altos Suite #2 Bo. Navarro
Gurabo, PR 00778

Mailing address

HC- 02 13066
Bo. Navarro, Colinas de Navarro
Gurabo, PR 00778-3066
Phone (787) 747-0300

Other identifiers 1

IdentifierTypeStateIssuer
132BOtherPRINTERNATIONAL MEDICAL CAR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235271370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC- 02 13066",
            "address_2": "BO. NAVARRO, COLINAS DE NAVARRO",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007783066",
            "telephone_number": "787-747-0300",
            "fax_number": "787-747-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 931 KM. 5.4",
            "address_2": "ALTOS SUITE #2 BO. NAVARRO",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-747-0300",
            "fax_number": "787-747-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGELS PEDIATRIC GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORINGLANE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PEDIATRITIAN",
        "authorized_official_telephone_number": "787-747-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "11228",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PR",
            "license": "13537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "132B",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, 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.

Verify at the official NPI Registry.