Organization Active NPI

Kids Endo PR

  • Pediatric Endocrinology Physician
  • Guaynabo, PR
National Provider Identifier
1457901514
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
Legal business name
KIDS ENDO PR
Practice address
9 Ave Las Cumbres Ste 14
Guaynabo, PR 00969-4833
Phone
(787) 400-2440
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
Marina C Ruiz-Montilla, MD
Title
Manager
Phone
(787) 349-9179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0205X Primary

Addresses

Primary practice location

9 Ave Las Cumbres Ste 14
Guaynabo, PR 00969-4833

Mailing address

9 Ave Las Cumbres Ste 14
Guaynabo, PR 00969-4833
Phone (787) 400-2440

National Provider Directory

National Provider Directory

Locations

9 Ave Las Cumbres
Ste 14
Guaynabo, PR 00969
Phone (787) 400-2440

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1457901514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 AVE LAS CUMBRES STE 14",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694833",
            "telephone_number": "787-400-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 AVE LAS CUMBRES STE 14",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694833",
            "telephone_number": "787-400-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS ENDO PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "RUIZ-MONTILLA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-349-9179",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.