NPI 1821453382

Pediatric Management & Emergency Services

Organisation Exclusive Provider Organization Dorado, PR

Practice location

Address: 503 Calle Ext S, Dorado, PR 00646-5016
Phone: (787) 796-2994
Mailing address: PO Box 644, Dorado, PR 00646-0644

Authorised official

Name: Fernando Vega-Moral
Title: President
Phone: (787) 405-0560

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1821453382
Entity type: Organization
NPI issued: 28 Dec 2015
Record last updated: 28 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.