Carolina Pediatric Group Corp

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CAROLINA PEDIATRIC GROUP CORP

Practice address

Ave Roberto Clemente Bloq 132 #11
Villa Carolina
Carolina, PR 00985

Phone

(787) 257-0709

Fax

(787) 276-4280

NPI assigned

Dec 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Waldemar Hess, RPH

Title

President

Phone

(787) 257-0709

Specialties & licenses 1

Addresses

Tax ID family

Carolina Pediatric Group Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carolina Pediatric Group Corp

  • Contractor
  • Carolina, PR
  • NPI 1992073985
  NPD tax ID

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1497023337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3628",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009843628",
            "telephone_number": "787-257-0709",
            "fax_number": "787-276-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE ROBERTO CLEMENTE BLOQ 132 #11",
            "address_2": "VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-257-0709",
            "fax_number": "787-276-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA PEDIATRIC GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "WALDEMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-257-0709",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Dental Group
• Carolina Diagnostic Imaging Group Corp
• Carolina Imaging Center
• Carolina Nuclear
• Carolina OB-GYN
• Carolina Pediatric Group Corp
• Carolina Sleep & Epilepsy Center
• Carolina Wound & Skin Care LLC
• Kaira Carrasquillo Carrasquillo, M.D.
• Jessica M Carrasquillo Miranda, M.D

• All providers in Carolina, PR
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.