Provider Demographics
NPI:1992988802
Name:PUERTO RICO CHILDREN'S HOSPITAL,INC.
Entity type:Organization
Organization Name:PUERTO RICO CHILDREN'S HOSPITAL,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:SOLEDAD
Authorized Official - Last Name:VARGAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-787-4611
Mailing Address - Street 1:PO BOX 1999
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1999
Mailing Address - Country:US
Mailing Address - Phone:787-787-4611
Mailing Address - Fax:787-622-8430
Practice Address - Street 1:CARRETERA #2 KM 11.9 INTERIOR BO. PAJAROS
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-1999
Practice Address - Country:US
Practice Address - Phone:787-787-4611
Practice Address - Fax:787-622-8430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-13
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR28282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren