Teens & Tots Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

243334 Issued in MA

Legal business name

TEENS & TOTS PEDIATRICS, LLC

Practice address

67 W Boylston St
Suite 11
West Boylston, MA 01583-1752

Phone

(508) 835-4218

Fax

(508) 835-4098

NPI assigned

Sep 22, 2012

Last updated

Sep 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rosa Isabel Rincon Rivero, M.D.

Title

Owner

Phone

(603) 997-1342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1348272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348272000000",
    "number": "1477804011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W BOYLSTON ST",
            "address_2": "SUITE 11",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831752",
            "telephone_number": "508-835-4218",
            "fax_number": "508-835-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W BOYLSTON ST",
            "address_2": "SUITE 11",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831752",
            "telephone_number": "508-835-4218",
            "fax_number": "508-835-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEENS & TOTS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-22",
        "last_updated": "2012-09-22",
        "status": "A",
        "authorized_official_last_name": "RINCON RIVERO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-997-1342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "243334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2012; 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.