NPIMap

Organization Active NPI

AMC Pediatric Service PSC

  • Specialist
  • Las Piedras, PR
National Provider Identifier
1306163365
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12330 Issued in PR
Legal business name
AMC PEDIATRIC SERVICE PSC
Practice address
A13 Calle 4
April Gardens
Las Piedras, PR 00771-3401
Phone
(787) 733-2009
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Carol Rodriguez, MD
Title
President
Phone
(787) 399-1158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12330 PR Primary

Addresses

Primary practice location

A13 Calle 4
April Gardens
Las Piedras, PR 00771-3401

Mailing address

A13 Calle 4
April Gardens
Las Piedras, PR 00771-3401
Phone (787) 733-2009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1306163365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A13 CALLE 4",
            "address_2": "APRIL GARDENS",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713401",
            "telephone_number": "787-733-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A13 CALLE 4",
            "address_2": "APRIL GARDENS",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007713401",
            "telephone_number": "787-733-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMC PEDIATRIC SERVICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-399-1158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "12330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Piedras, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.