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Organization
GO PEDIATRICS PSC
Active
Organization
GO PEDIATRICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE MEJIA VALLE (PRESIDENT)
(787) 366-7726
Entity
Organization
Contact information
Practice address
1 LAS CUMBRES SHOPP CTR # AVE, CARR 199 KM 0 3, SAN JUAN, PR 00926-5406
(787) 300-2000
Mailing address
130 AVE WINSTON CHURCHILL, PMB 364 STE 1, SAN JUAN, PR 00926-6065
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2012
Last updated
08/15/2012
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