# PLATINUM EMERGENCY KID

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164714796
- **Authorized official:** DR. JORGE MEJIA MD (PRESIDENT)
- **Authorized official phone:** (787) 366-7726

## Contact information

- **Practice address:** 371 AVE DE DIEGO, RIO PIEDRAS, PR 00926
- **Practice address phone:** (787) 620-5100
- **Mailing address:** 98 CALLE IBIZA, HACIENDA EL MOLINO, VEGA ALTA, PR 00692-8708
- **Mailing address phone:** (787) 366-7726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | NULL | Yes |
| 207PP0204X | Pediatric Emergency Medicine (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2011
- **Last updated:** 05/16/2011
