CBF Pediatrics CSP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

13416 Issued in PR

Legal business name

CBF PEDIATRICS CSP

Practice address

43 Plaza Sur
Altavilla, Encantada
Trujillo Alto, PR 00976-6096

Phone

(787) 717-9279

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Carmen L. Baez, MD

Title

President

Phone

(787) 717-9279

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841333747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 PLAZA SUR",
            "address_2": "ALTAVILLA, ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766096",
            "telephone_number": "787-717-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 PLAZA SUR",
            "address_2": "ALTAVILLA, ENCANTADA",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "009766096",
            "telephone_number": "787-717-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CBF PEDIATRICS CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-717-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "13416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649240813",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL SECURITY",
            "identifier": "$$$$$$$$$",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholle Alexandra Carrion-Tio
• Cary Lisse Cartagena
• Brenda Castro
• Paola Castro
• Gerardo Samuel Caussade Silvestrini
• CDT Trujillo Alto
• Francheska Cedeno Gomez
• Centro 4 Medical Center Inc.
• Centro de Evaluacion Y Terapia Eureka LLC
• Centro de Medicina Integral Awilda Martinez

• Pediatrics Physician in Trujillo Alto, PR
• Providers in Trujillo Alto, PR by specialty
• Pediatrics Physician 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.