Organization Active NPI

Pediatric Professionals, CSP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Gurabo, PR
National Provider Identifier
1366863698
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
PEDIATRIC PROFESSIONALS, CSP
Practice address
1 Ave Campinas de Navarro
Urb Campinas de Navarro
Gurabo, PR 00778-5500
Phone
(787) 924-7575
Fax
(787) 924-7575
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Dr. Milagros T Reyes Mora, MD
Title
Presidente
Phone
(787) 924-7575

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0004X Primary
Pediatric Emergency Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PP0204X
Pediatric Emergency Medicine (Pediatrics) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0204X

Addresses

Primary practice location

1 Ave Campinas de Navarro
Urb Campinas de Navarro
Gurabo, PR 00778-5500

Mailing address

PO Box 8549
Caguas, PR 00726-8549
Phone (787) 924-7575

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1366863698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8549",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007268549",
            "telephone_number": "787-924-7575",
            "fax_number": "787-924-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AVE CAMPINAS DE NAVARRO",
            "address_2": "URB CAMPINAS DE NAVARRO",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007785500",
            "telephone_number": "787-924-7575",
            "fax_number": "787-924-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PROFESSIONALS, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "REYES MORA",
        "authorized_official_first_name": "MILAGROS",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-924-7575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 27, 2016; 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.