PEDIATRIC NEUROMUSCULAR LLC NPI 1295408029

NPI Information

  • NPI: 1295408029
  • Provider Name: PEDIATRIC NEUROMUSCULAR LLC
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Organization
  • Address: 252 CALLE SAN JORGE
    EDIF MEDICO SAN JORGE SUITE 307
    SAN JUAN, PR
    ZIP 00912
  • Phone: (787) 233-5933

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NPI Details

PEDIATRIC NEUROMUSCULAR LLC is a neurology with special qualifications in child neurology psychiatry neurology in San Juan, PR. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. PEDIATRIC NEUROMUSCULAR LLC NPI is 1295408029. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

252 CALLE SAN JORGE
EDIF MEDICO SAN JORGE SUITE 307
SAN JUAN, PR
ZIP 00912
Phone: (787) 233-5933

The provider's authorized official is Alexandra M Montalvo Acevedo .
The authorized official title is President and has the following contact phone number (787) 233-5933.

The enumeration date for this NPI number is 7/28/2021 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0008XPsychiatry & NeurologyNeuromuscular MedicineNo
22084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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This page was last updated on: 11/21/2025

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