Individual provider · Type 1 NPI
Carmen Luisa Mediavilla, MD
Medically Fragile Infants and Children Day Care · Hato Rey, PR
Practice location
400 Ave. F.d. Roosevelt, ,clinica Las Americas Suite 203
Hato Rey, PR 00918
Fax (787) 781-5342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medically Fragile Infants and Children Day Care Primary | 261QM3000X | 004984 (PR) |
Medically Fragile Infants and Children Day Care: An entity, facility, or distinct part of a facility specially equipped and staffed to provide care for medically fragile children with varied and complex care needs (e.g., enteral or parental feeding, ostomy care, respiratory/ventilator care, medications and therapies, etc.).
2 other providers at this address
About NPI 1407050776
Carmen Luisa Mediavilla, MD's National Provider Identifier is 1407050776, issued on Jun 12, 2007. The primary taxonomy on file is Medically Fragile Infants and Children Day Care (261QM3000X), and the practice location is in Hato Rey, PR. The record was last updated on Jul 8, 2007.