Dr. Carmen L Mediavilla, MD
Clinic/Center, Medically Fragile Infants and Children Day Care in Hato Rey, Puerto Rico
1407050776- Practice location
- 400 Ave. F.d. Roosevelt, ,clinica Las Americas Suite 203, Hato Rey, PR 00918
- Phone
- 787-783-4423
- Fax
- 787-781-5342
- Last updated
- July 8, 2007
Carmen Luisa Mediavilla is a Clinic/Center, Medically Fragile Infants and Children Day Care based in Hato Rey, PR. Carmen Luisa Mediavilla practices in Hato Rey, PR and has the professional credentials of MD. The NPI Number for Carmen Luisa Mediavilla is 1407050776 and holds a License No. 004984 (PR). The current practice location address for Carmen Luisa Mediavilla is 400 Ave. F.d. Roosevelt, ,clinica Las Americas Suite 203, Hato Rey, PR 00918 and can be reached out via phone at 787-783-4423 and via fax at 787-781-5342.
Provider Profile Details
- NPI Number
- 1407050776
- Provider Name
- Carmen Luisa Mediavilla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 400 Ave. F.d. Roosevelt, ,clinica Las Americas Suite 203, Hato Rey, PR 00918
- Phone Number
- 787-783-4423
- Fax Number
- 787-781-5342
- Primary Taxonomy
- Clinic/Center, Medically Fragile Infants and Children Day Care · 261QM3000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 12, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 400 Ave. F.d. Roosevelt
,clinica Las Americas Suite 203
Hato Rey, PR 00918 - City
- Hato Rey
- State
- Puerto Rico
- Zip
- 00918
- Phone Number
- 787-783-4423
- Fax Number
- 787-781-5342
Provider Business Mailing Address Details
- Address
- 400 Ave. F.d. Roosevelt
,clinica Las Americas Suite 203
Hato Rey, PR 00918 - City
- Hato Rey
- State
- PR
- Zip
- 00918
- Phone Number
- 787-783-4423
- Fax Number
- 787-781-5342
License Information
- License Number
- 004984
- License State
- PR
- Taxonomy
- Clinic/Center, Medically Fragile Infants and Children Day Care · 261QM3000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Carmen L Mediavilla, MD?
The NPI number of Dr. Carmen L Mediavilla, MD is 1407050776. It was assigned on June 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Carmen L Mediavilla, MD?
Dr. Carmen L Mediavilla, MD is registered under the primary taxonomy Clinic/Center, Medically Fragile Infants and Children Day Care (code 261QM3000X), licensed in PR under license number 004984.
Where does Dr. Carmen L Mediavilla, MD practice?
The practice location is 400 Ave. F.d. Roosevelt, ,clinica Las Americas Suite 203, Hato Rey, PR 00918. The office can be reached at 787-783-4423 (phone) or 787-781-5342 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407050776 directly on the NPPES registry website.