Central Pediatric Group, C.S.P.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

CENTRAL PEDIATRIC GROUP, C.S.P.

Practice address

18 Calle Taft
5-S
San Juan, PR 00911-1200

Phone

(787) 743-2115

Fax

(787) 744-3800

NPI assigned

May 27, 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. Diana F Lopez, M.D.

Title

Administrator

Phone

(787) 743-2115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649227422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 CALLE TAFT",
            "address_2": "APT 5-S",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111200",
            "telephone_number": "787-743-2115",
            "fax_number": "787-744-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 CALLE TAFT",
            "address_2": "5-S",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009111200",
            "telephone_number": "787-743-2115",
            "fax_number": "787-744-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PEDIATRIC GROUP, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-743-2115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.