Organization Active NPI

Pediatria Norte CSP

  • Specialist
  • Manati, PR
National Provider Identifier
1447438833
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
12349 Issued in PR
Legal business name
PEDIATRIA NORTE CSP
Practice address
B-37 Marginal Elliot Velez
Urb. Atenas
Manati, PR 00674-4943
Phone
(787) 884-4383
Fax
(787) 884-2331
NPI assigned
Feb 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Miguel Angel Reyes, MDNPI 1295807261
Title
President
Phone
(787) 884-4383

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 12349 PR Primary

Addresses

Primary practice location

B-37 Marginal Elliot Velez
Urb. Atenas
Manati, PR 00674-4943

Mailing address

113 Calle Salmon
Nuevas Estancias
Manati, PR 00674-4943
Phone (787) 884-4383

National Provider Directory

National Provider Directory

Locations

B37 Calle Elliot Velez
Manati, PR 00674
Phone (787) 884-2331

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": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1447438833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 CALLE SALMON",
            "address_2": "NUEVAS ESTANCIAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744943",
            "telephone_number": "787-884-4383",
            "fax_number": "787-884-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B-37 MARGINAL ELLIOT VELEZ",
            "address_2": "URB. ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744943",
            "telephone_number": "787-884-4383",
            "fax_number": "787-884-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIA NORTE CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-4383",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "12349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.