Organization Active NPI

Coco Pediatrics LLC

  • Pediatrics Physician
  • Mayaguez, PR
National Provider Identifier
1851976138
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
COCO PEDIATRICS LLC
Practice address
63 Calle Mendez Vigo E Ste 3B
Mayaguez, PR 00680-4928
Phone
(787) 833-5050
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Authorized official

Name
Jennifer Cruz Bracero, MD
Title
President
Phone
(787) 833-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

63 Calle Mendez Vigo E Ste 3B
Mayaguez, PR 00680-4928

Mailing address

63 Calle Mendez Vigo E Ste 3B
Mayaguez, PR 00680-4928
Phone (787) 833-5050

National Provider Directory

National Provider Directory

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": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1851976138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CALLE MENDEZ VIGO E STE 3B",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804928",
            "telephone_number": "787-833-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CALLE MENDEZ VIGO E STE 3B",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804928",
            "telephone_number": "787-833-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCO PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "CRUZ BRACERO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-833-5050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.