# PEDIATRICS & SPORTS MEDICINE P.S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1245665140
- **Authorized official:** JOSEPH FERNANDEZ M.D. (PRESIDENT)
- **Authorized official phone:** (732) 456-0209

## Contact information

- **Practice address:** URB SANTA JUANITA, CALLE QUINTANA BH9, BAYAMON, PR 00956
- **Practice address phone:** (939) 264-1889
- **Mailing address:** PO BOX 12336, SAN JUAN, PR 00914-0336

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080S0010X | Pediatric Sports Medicine Physician | — | NULL | Yes |
| 2080S0010X | Pediatric Sports Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/10/2013
- **Last updated:** 08/14/2020