Organization Active NPI

St Gianna Pediatrics

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1649546136
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST GIANNA PEDIATRICS
Practice address
312 Ave de Diego
Suite 606
San Juan, PR 00909-1756
Phone
(787) 375-9090
NPI assigned
Mar 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
Dr. Olga M Lliteras, MD
Title
Presidenta
Phone
(787) 375-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X PR Primary

Addresses

Primary practice location

312 Ave de Diego
Suite 606
San Juan, PR 00909-1756

Mailing address

PO Box 41234
San Juan, PR 00940-1234
Phone (787) 375-9090

National Provider Directory

National Provider Directory

Locations

312 Ave de Diego
Ste 606
San Juan, PR 00909
Phone (787) 375-9090

NPI Registry JSON

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1649546136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41234",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009401234",
            "telephone_number": "787-375-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 AVE DE DIEGO",
            "address_2": "SUITE 606",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091756",
            "telephone_number": "787-375-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GIANNA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "LLITERAS",
        "authorized_official_first_name": "OLGA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENTA",
        "authorized_official_telephone_number": "787-375-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.