# PLATINUM EMERGENCY KID PSC

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

## Provider details

- **NPI number:** 1174823389
- **Authorized official:** DR. JORGE MEJIA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 366-7726

## Contact information

- **Practice address:** 98 PASEO IBIZA STREET, HACIENDA EL MOLINO, VEGA ALTA, PR 00692
- **Practice address phone:** (787) 366-7726
- **Mailing address:** 98 PASEO IBIZA STREET, HACIENDA EL MOLINO, VEGA ALTA, PR 00692
- **Mailing address phone:** (787) 366-7726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | NULL | Yes |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2010
- **Last updated:** 10/22/2010