Southern Pediatric Care

LBN: Southern Pediatric Care
Southern Pediatric Care is an health care organization with primary practice located at St Aquamarina M 33 Urb. Estancias De Yauco, Yauco PR 00698-0000. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Southern Pediatric Care can be contacted via phone (787) 672-1455, or through Santiago, Mariela Caraballo via phone (787) 672-1455.

Contact Information

Primary practice address
St Aquamarina M 33 Urb. Estancias De Yauco Yauco PR 00698-0000
Fax:
Website:
Authorized official contact:
Name: Santiago, Mariela Caraballo

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 9738 Puerto Rico

Profile Details

NPI number 1770853780
LBN Legal business name Southern Pediatric Care
DBA Doing business as
Authorized official Santiago, Mariela Caraballo
Entity Organization
Organization subpart 1 No
Enumeration date Jan 6th, 2012
Last updated Jan 6th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770853780 NPPES
Puerto Rico Other 1710188503 NPI

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