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Organization
PEDIATRIX MEDICAL GROUP, S.P.
Active
Organization
PEDIATRIX MEDICAL GROUP, S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY VELAZQUEZ (BILLING, COLLECTION & HA SUPERVISOR)
(787) 999-0753
Entity
Organization
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 999-0753
Mailing address
PO BOX 11913, SAN JUAN, PR 00922-1913
(787) 999-0753
(787) 651-1794
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
—
PR
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
PR
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
PR
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
PR
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528046075
TAX ID
PR
Enumeration date
01/05/2006
Last updated
05/26/2026
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