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Organization
PEDIATRIC PRO & MEDICINE LLC
Active
Organization
PEDIATRIC PRO & MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE E DEL VALLE PE (ADMINISTRATOR)
(787) 924-7575
Entity
Organization
Contact information
Practice address
CALLE JOSE C VAZQUEZ CARRETERA 726, URB VLLA ROSALES, AIBONITO, PR 00705
(787) 735-8100
(787) 924-7575
Mailing address
PO BOX 8549, CAGUAS, PR 00726-8549
(787) 924-7575
(787) 924-7575
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
NULL
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
NULL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
Other
Enumeration date
04/27/2018
Last updated
04/27/2018
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