Pediatric & General Surgery LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PEDIATRIC & GENERAL SURGERY LLC

Practice address

410 Ave Hostos Ste 123
Mayaguez, PR 00682-1560

Phone

(787) 314-2325

NPI assigned

Sep 30, 2020

Organization subpart

No

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

Authorized official

Name

Jean C Carrasquillo Quinones, MD

Title

President

Phone

(787) 314-2325

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jean Pierre Carrasquillo

  • Surgery Physician
  • Mayaguez, PR
  • NPI 1467695239
  NPD (past)

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601424000000",
    "number": "1376150680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1605",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006771605",
            "telephone_number": "787-314-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 AVE HOSTOS STE 123",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821560",
            "telephone_number": "787-314-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & GENERAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A",
        "authorized_official_last_name": "CARRASQUILLO QUINONES",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-314-2325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Pediatric Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paradise West Medical, Inc.
• Partners in Hope Inc
• Pathology Lab Inc
• Patricio J. Sumaza, DMD, CSP
• Pearle Vision Center of Puerto Rico, Inc
• Pediatric Orthopedics of Puerto Rico
• Pedro a Muniz
• Nilsa M. Perdomo Rivera
• Isabel Franchesca Perdomo, MD
• Cristina Perea, PHD

• Surgery Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.