Pediamed

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

10285 Issued in PR

Legal business name

PEDIAMED

Practice address

Carretera #172
Hospital San Juan Bautista
Caguas, PR 00726

Phone

(787) 730-1166

Fax

(787) 730-1166

NPI assigned

May 21, 2007

Reactivated

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Juan Carlos Del Rio Roure, MD

Title

President

Phone

(787) 730-1166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710196209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE BEGONIA 162",
            "address_2": "CIUDAD JARDIN 2",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "00953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA #172",
            "address_2": "HOSPITAL SAN JUAN BAUTISTA",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00726",
            "telephone_number": "787-730-1166",
            "fax_number": "787-730-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIAMED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "ROURE",
        "authorized_official_first_name": "JUAN CARLOS",
        "authorized_official_middle_name": "DEL RIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-730-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PR",
            "license": "10285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emil Antonio Pastrana Ramirez, M.D.
• Adriana Alejandra Pastrana
• Valeria Pauneto Gonzalez
• PBS Claims Collectors
• Pearle Vision Center of Puerto Rico, Inc
• Pediatrics and Ho BMT Group
• Pedmed LLC
• Idalia Pedroza-Lopez, M.D.
• Roberto Peirats, PHARMACIST
• Alondra Maria Peluyera

• Multi-Specialty Clinic/Center in Caguas, PR
• Providers in Caguas, PR by specialty
• Multi-Specialty Clinic/Center 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.