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Organization
PEDIATRICS & SPORTS MEDICINE P.S.C.
Active
Organization
PEDIATRICS & SPORTS MEDICINE P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH FERNANDEZ M.D. (PRESIDENT)
(732) 456-0209
Entity
Organization
Contact information
Practice address
URB SANTA JUANITA, CALLE QUINTANA BH9, BAYAMON, PR 00956
(939) 264-1889
Mailing address
PO BOX 12336, SAN JUAN, PR 00914-0336
Taxonomy
Speciality
Code
Description
License number
State
2080S0010X
Pediatric Sports Medicine Physician
Primary
—
NULL
2080S0010X
Pediatric Sports Medicine Physician
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
08/14/2020
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