Active NPI
Centro de Cirugia Pediatrica
- Pediatric Surgery Physician
- Mercedita, PR
National Provider Identifier
1568495190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 11008
- Legal business name
- CENTRO DE CIRUGIA PEDIATRICA
- Practice address
- Saint Lukes Memorial Hospital
Mercedita, PR 00715-0244 - Phone
- (787) 812-5286
- Fax
- (787) 984-2821
- NPI assigned
- Jul 8, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Odette Pinzon
- Title
- Administrator
- Phone
- (787) 812-5286
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | 11008 | PR | Primary |
Addresses
Primary practice location
Saint Lukes Memorial Hospital
Mercedita, PR 00715-0244
Mailing address
PO Box 244
Mercedita, PR 00715-0244
Phone (787) 812-5286
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1568495190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 244",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150244",
"telephone_number": "787-812-5286",
"fax_number": "787-984-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SAINT LUKES MEMORIAL HOSPITAL",
"city": "MERCEDITA",
"state": "PR",
"postal_code": "007150244",
"telephone_number": "787-812-5286",
"fax_number": "787-984-2821"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRO DE CIRUGIA PEDIATRICA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PINZON",
"authorized_official_first_name": "ODETTE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "787-812-5286",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": "PR",
"license": "11008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mercedita, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.