Provider Demographics
NPI:1306677760
Name:PEDIATRIC CHILDREN'S INSTITUTE, LLC
Entity type:Organization
Organization Name:PEDIATRIC CHILDREN'S INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRA
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:LUIS
Authorized Official - Last Name:TORRES SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-307-8183
Mailing Address - Street 1:PO BOX 800019
Mailing Address - Street 2:
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780-0019
Mailing Address - Country:US
Mailing Address - Phone:787-307-8183
Mailing Address - Fax:
Practice Address - Street 1:CARR 506 KM 1.0
Practice Address - Street 2:EDIFICIO TORRE SAN CRISTOBAL SUITE 213
Practice Address - City:COTO LAUREL
Practice Address - State:PR
Practice Address - Zip Code:00780
Practice Address - Country:US
Practice Address - Phone:787-307-8383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty