Organization Active NPI

Kids Pulm PR LLC

  • Pediatric Pulmonology Physician
  • Bayamon, PR
National Provider Identifier
1740964287
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
Legal business name
KIDS PULM PR LLC
Practice address
1845 Bayamon Medical Plaza Carr #2
Suite 803
Bayamon, PR 00959
Phone
(787) 474-8282
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Dr. Carolina Miranda Torres, MDNPI 1255627675
Title
President
Phone
(787) 647-1439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0214X Primary

Addresses

Primary practice location

1845 Bayamon Medical Plaza Carr #2
Suite 803
Bayamon, PR 00959

Mailing address

PO Box 192091
San Juan, PR 00919-2091
Phone (787) 647-1439

Other practice location 1

Calle Hernandez Carrion Urb Atenas
Manati Medical Center Suite 204-A
Manati, PR 00674
Phone (787) 621-3700

Other practice location 2

715 Ave Ponce De Leon Hosp Auxilio Mutuo
Clinicas Sub-Especialistas Pediatric Piso 1
San Juan, PR 00917-5032
Phone (787) 758-2000

National Provider Directory

National Provider Directory

Locations

715 Ave Ponce de Leon
Ste 1
San Juan, PR 00917
Phone 7877582000 ext. 1391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1740964287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192091",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192091",
            "telephone_number": "787-647-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 BAYAMON MEDICAL PLAZA CARR #2",
            "address_2": "SUITE 803",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-474-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Hernandez Carrion Urb Atenas",
            "address_2": "Manati Medical Center Suite 204-A",
            "address_purpose": "LOCATION",
            "city": "Manati",
            "state": "PR",
            "postal_code": "00674",
            "country_code": "US",
            "telephone_number": "787-621-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "715 Ave Ponce De Leon Hosp Auxilio Mutuo",
            "address_2": "Clinicas Sub-Especialistas Pediatric Piso 1",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009175032",
            "country_code": "US",
            "telephone_number": "787-758-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIDS PULM PR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "MIRANDA TORRES",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-647-1439",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.