# SAN JORGE GENERAL PEDIATRIC MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAN JORGE CHILDREN'S HOSPITAL INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508248196
- **Legal business name:** SAN JORGE CHILDREN'S HOSPITAL INC
- **Authorized official:** RICARDO TORRES (CONSULTANT)
- **Authorized official phone:** (787) 309-7626

## Contact information

- **Practice address:** 258 CALLE SAN JORGE, SAN JUAN, PR 00912
- **Practice address phone:** (787) 641-1919
- **Mailing address:** PO BOX 6308, SAN JUAN, PR 00914-6308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 06/19/2015