# SAN JORGE PEDIATRIC MENTAL HEALTH UNIT

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

## Provider details

- **NPI number:** 1821523432
- **Legal business name:** SAN JORGE CHILDREN'S HOSPITAL, INC
- **Authorized official:** MR. JOSE L RODRIGUEZ MHSA (VP & EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 727-1000

## Contact information

- **Practice address:** 253 CALLE SAN JORGE, SAN JORGE CORPORATE BUILDING 2B, SAN JUAN, PR 00912
- **Practice address phone:** (787) 727-1000
- **Practice address fax:** (787) 268-8702
- **Mailing address:** 253 CALLE SAN JORGE, SAN JORGE CORPORATE BUILDING 2B, SAN JUAN, PR 00912
- **Mailing address phone:** (787) 727-1000
- **Mailing address fax:** (787) 268-8702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2017
- **Last updated:** 06/09/2020