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NPI Profile for Dr CARMEN L MEDIAVILLA in HATO REY, PR.
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.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medically Fragile Infants and Children Day Care |
261QM3000X |
| NPI # | 1407050776 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 06/12/2007 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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CARMEN L MEDIAVILLA
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CARMEN L MEDIAVILLA, MD