Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CARMEN LUISA MEDIAVILLA, M.D.
Active Sole ProprietorDR. CARMEN LUISA MEDIAVILLA, M.D. is a Medically Fragile Infants and Children Day Care healthcare provider located in HATO REY, Puerto Rico. NPI 1407050776 is currently active in the NPPES registry. Verify at CMS.
Medically Fragile Infants and Children Day Care · HATO REY, PR
Registration Details
- NPI Number
- 1407050776
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2007 (19.215452005623 yrs)
- Last Updated
- Jul 8, 2007
- License
-
004984 (PR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 AVE. F.D. ROOSEVELT,CLINICA LAS AMERICAS SUITE 203HATO REY, PR, 00918Browse PR providers · Browse ZIP 00918
- Phone
- 7877834423
- Fax
- 7877815342
- Primary Specialty
-
Medically Fragile Infants and Children Day Care
261QM3000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.