Centro Pediatrico Country Club

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CENTRO PEDIATRICO COUNTRY CLUB

Practice address

Go7 Ave Roberto Sanchez Vilella
Coutry Club
Carolina, PR 00982-2678

Phone

(787) 769-5500

Fax

(787) 762-9110

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ricardo Manuel Fontanet, M.D.

Title

Medical Director

Phone

(787) 769-5500

Specialties & licenses 1

Addresses

Practitioners 2

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

• Ricardo M. Fontanet Grana, MD

  • Pediatrics Physician
  • Carolina, PR
  • NPI 1104818954
  NPD (past)
• Pablo Andres Fontanet Sanchez, MD

  • General Practice Physician
  • Carolina, PR
  • NPI 1780176768
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1841320082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GO7 AVE ROBERTO SANCHEZ VILELLA",
            "address_2": "COUTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822678",
            "telephone_number": "787-769-5500",
            "fax_number": "787-762-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GO7 AVE ROBERTO SANCHEZ VILELLA",
            "address_2": "COUTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009822678",
            "telephone_number": "787-769-5500",
            "fax_number": "787-762-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PEDIATRICO COUNTRY CLUB",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "FONTANET",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "787-769-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Centro Peditrico Dr Santiago
• Centro Pray the Lord Incorporated
• Centro Psicologico Y Terapeutico Para la Familia Encuentro
• Centro Quiropractico de la Salud LLC
• Centro Radiodiagnostico Carolina

• Medical Specialty Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.