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Organization
SAN JORGE CHILDRENS MEDICAL SPEIALTIES
Active
Organization
SAN JORGE CHILDRENS MEDICAL SPEIALTIES
Active
Other names
SJC Medical Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN L VELEZ (ADMIN)
(787) 728-1575
Entity
Organization
Contact information
Practice address
252 CALLE SAN JORGE STE 504, SAN JUAN, PR 00912-3241
(787) 728-1575
(787) 726-0402
Mailing address
252 CALLE SAN JORGE, SAN JORGE MEDICAL BLDG 504, SANTURCE, PR 00912-3239
(787) 728-1575
(787) 726-0402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
11147
PR
174400000X
Specialist
12902
PR
174400000X
Specialist
13693
PR
174400000X
Specialist
5762
PR
174400000X
Specialist
9083
PR
174400000X
Specialist
9183
PR
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
NULL
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
09/09/2010
Last updated
08/07/2024
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