Pueblo Pediatrics LTD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PUEBLO PEDIATRICS LTD

Practice address

2152 S Vineyard
Suite 129
Mesa, AZ 85210-6871

Phone

(480) 732-0044

Fax

(480) 732-9333

NPI assigned

Feb 24, 2006

Organization subpart

No

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

Authorized official

Name

Margaret Jane Chiles, R.N.

Title

Administrator

Phone

(480) 732-0044

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1821064353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD",
            "address_2": "SUITE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106871",
            "telephone_number": "480-732-0044",
            "fax_number": "480-732-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 S VINEYARD",
            "address_2": "SUITE 129",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852106871",
            "telephone_number": "480-732-0044",
            "fax_number": "480-732-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUEBLO PEDIATRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "CHILES",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-732-0044",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek P Pruni, DC
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• Idalis Monique Pulido

• Pediatrics Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.