# SAN JORGE CHILDRENS MEDICAL SPEIALTIES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SJC Medical Specialties
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689981888
- **Authorized official:** CARMEN L VELEZ (ADMIN)
- **Authorized official phone:** (787) 728-1575

## Contact information

- **Practice address:** 252 CALLE SAN JORGE STE 504, SAN JUAN, PR 00912-3241
- **Practice address phone:** (787) 728-1575
- **Practice address fax:** (787) 726-0402
- **Mailing address:** 252 CALLE SAN JORGE, SAN JORGE MEDICAL BLDG 504, SANTURCE, PR 00912-3239
- **Mailing address phone:** (787) 728-1575
- **Mailing address fax:** (787) 726-0402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2010
- **Last updated:** 08/07/2024