# PEDIATRIX MEDICAL GROUP OF PUERTO RICO, P.S.C

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

## Provider details

- **NPI number:** 1255319703
- **Authorized official:** SANDY VELAZQUEZ (BILLING, COLLECTIONS & HA SUPERVISO)
- **Authorized official phone:** (787) 999-0753

## Contact information

- **Practice address:** 619 AVE SAN LUIS, ARECIBO, PR 00612-3637
- **Practice address phone:** (787) 650-7273
- **Mailing address:** PO BOX 11913, SAN JUAN, PR 00922-1913
- **Mailing address phone:** (787) 999-0753
- **Mailing address fax:** (787) 651-1794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | PR | Yes |

## Other

- **Enumeration date:** 01/05/2006
- **Last updated:** 05/26/2026