# PEDIATRIC MANAGEMENT & EMERGENCY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821453382
- **Authorized official:** DR. FERNANDO VEGA-MORAL MD (PRESIDENT)
- **Authorized official phone:** (787) 405-0560

## Contact information

- **Practice address:** 503 CALLE EXT S, DORADO, PR 00646-5016
- **Practice address phone:** (787) 796-2994
- **Mailing address:** PO BOX 644, DORADO, PR 00646-0644
- **Mailing address phone:** (787) 405-0560
- **Mailing address fax:** (787) 796-2994

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 12/28/2015
- **Last updated:** 12/28/2015