| Organization Name: | CORPORACION PROFESIONAL SERVICIO MEDICO INFANTIL |
| NPI Number: | 1043341340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANCISCO JAVIER VELARDE (PRESIDENTE) |
| Mailing Address: | Street # 1 House # 38, Urbanizacion Villa Rosales Aibonito |
| State: | PR US |
| Postal Code: | 00705 |
| Phone Number: | 7877355690 |
| Fax Number: | 7879911320 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |