Organization Active NPI

Centro de Especialistas Pediatricos

  • Specialist
  • Caguas, PR
National Provider Identifier
1851457774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6907 Issued in PR
Legal business name
CENTRO DE ESPECIALISTAS PEDIATRICOS
Practice address
D3 Ave Degetau
San Alfonso
Caguas, PR 00725-5838
Phone
(787) 746-3534
Fax
(787) 258-8129
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Renato RiveraNPI 1992787634
Title
President
Phone
(787) 746-3534

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 6907 PR Primary

Addresses

Primary practice location

D3 Ave Degetau
San Alfonso
Caguas, PR 00725-5838

Mailing address

PO Box 9442
Caguas, PR 00726-9442
Phone (787) 746-3534

National Provider Directory

National Provider Directory

Locations

D3 Ave Degetau
Caguas, PR 00725
Phone (787) 746-3534

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": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851457774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9442",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007269442",
            "telephone_number": "787-746-3534",
            "fax_number": "787-258-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "D3 AVE DEGETAU",
            "address_2": "SAN ALFONSO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255838",
            "telephone_number": "787-746-3534",
            "fax_number": "787-258-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO DE ESPECIALISTAS PEDIATRICOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-746-3534",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PR",
            "license": "6907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • 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.