Active NPI
Pediatric Professionals, CSP
- Emergency Medical Services (Emergency Medicine) Physician
- Gurabo, PR
National Provider Identifier
1366863698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | Primary | ||
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | |||
| Pediatric Emergency Medicine (Pediatrics) Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Worker
- Humacao, PR
- NPI 1699075085
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
- Eunice Marie Padilla
- Sylvia Paez, M.D.
- Ketsy Pagan Mercado, MD
- Ashley Ann Pagan Reyes
- Pancho Blu LLC Dba Farmacias Aliadas Gurabo
- Andrea Paola Pereira Rodriguez, MD
- Yashira Marie Perez Agosto, AUXILIAR DE FARMACIA
- Gabriel Hiram Perez Rivera, BSN-RN
- Marcos A. Perez-Martinez, REGISTERED NURSE
- Joselyn M Perez, LND
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.