Grupo Pediatrico de la Montana C.S.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GRUPO PEDIATRICO DE LA MONTANA C.S.P.

Practice address

61 Calle Georgetti
Naranjito, PR 00719-3027

Phone

(787) 869-2575

Fax

(787) 869-2575

NPI assigned

Dec 18, 2006

Last updated

Aug 22, 2020By 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. Maximino Rafael Ortega, MD

Title

Secretary

Phone

(787) 869-2575

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619030202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 314",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190314",
            "telephone_number": "787-869-2575",
            "fax_number": "787-869-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 CALLE GEORGETTI",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007193027",
            "telephone_number": "787-869-2575",
            "fax_number": "787-869-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUPO PEDIATRICO DE LA MONTANA C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "MAXIMINO",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "787-869-2575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Gonzalez, MD
• Juan Carlos Gonzalez, D.M.D
• Rosalee Gonzalez
• Isis Gracia, PSY D
• Grupo Medico Ipa-341
• Alex Reinaldo Gutierrez Nieves, M.D.
• Ivonne Esther Hernandez Castro, M.D.
• Alanys Nicole Hernandez Nieves, RN,BSN
• Emily Hernandez Virella, MS. CCC-SLP
• Dayma Hernandez

• Pediatrics Physician in Naranjito, PR
• Providers in Naranjito, PR by specialty
• Pediatrics Physician in Puerto Rico

• 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.

Verify at the official NPI Registry.