Carolina Pediatric Group Corp
Organization Active NPI Contractor · Carolina, PR
NPI 1992073985 · NPPES record last updated Dec 6, 2011
Key facts
- NPI
- 1992073985
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Contractor 171W00000X
- Legal business name
- CAROLINA PEDIATRIC GROUP CORP
- Practice address
- Ave. Roberto Clemente Bloq. 132 # 11
Villa Carolina
Carolina, PR 00985 - Phone
- (787) 257-0709
- Fax
- (787) 275-4275
- NPI assigned
- Dec 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Waldemar Hess, R. PH
- Title
- President
- Phone
- (787) 257-0709
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Carolina Pediatric Group Corp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | Yes |
Addresses
Primary practice location
Ave. Roberto Clemente Bloq. 132 # 11
Villa Carolina
Carolina, PR 00985
Mailing address
PO Box 3628
Carolina, PR 00985-3628
Phone (787) 257-0709
Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.