Pediatric Neuroepi LLC

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

Legal business name

PEDIATRIC NEUROEPI LLC

Practice address

100 Carr 165 Ste 308
Guaynabo, PR 00968-8050

Phone

(787) 365-6959

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Leyda Gisselle Sanchez OrtizNPI 1306002415

Title

MD

Phone

(787) 365-6959

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Leyda Gisselle Sanchez Ortiz, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Guaynabo, PR
  • NPI 1306002415
  NPD Authorized official

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1285284513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165 STE 308",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688050",
            "telephone_number": "787-365-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC NEUROEPI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ ORTIZ",
        "authorized_official_first_name": "LEYDA",
        "authorized_official_middle_name": "GISSELLE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-365-6959"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Pena Fonseca, FNP-BC

• Neurology with Special Qualifications in Child Neurology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Neurology with Special Qualifications in Child Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.