Pediatric Neuroepi Llc | |
100 Carr 165 Ste 308 Guaynabo PR 00968-8050 | |
(787) 365-6959 | |
Not Available |
Full Name | Pediatric Neuroepi Llc |
---|---|
Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
Location | 100 Carr 165 Ste 308, Guaynabo, Puerto Rico |
Authorized Official Name and Position | Leyda Gisselle Sanchez Ortiz (MD) |
Authorized Official Contact | 7873656959 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Neuroepi Llc Po Box 10076 San Juan PR 00922-0076 Ph: () - | Pediatric Neuroepi Llc 100 Carr 165 Ste 308 Guaynabo PR 00968-8050 Ph: (787) 365-6959 |
NPI Number | 1285284513 |
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Provider Enumeration Date | 09/18/2019 |
Last Update Date | 01/27/2023 |
Certification Date | 01/27/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285284513 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | (* (Not Available)) | Primary |
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