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Organization
PUERTO RICO PEDIATRIC SURGERY GROUP PSC
Active
Organization
PUERTO RICO PEDIATRIC SURGERY GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. ZEQUEIRA MD (PRESIDENT)
(787) 403-9370
Entity
Organization
Contact information
Practice address
76 CALLE AQUAMARINA, SAN JUAN, PR 00926-7067
(787) 403-9370
Mailing address
76 CALLE AQUAMARINA, SAN JUAN, PR 00926-7067
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
17,885
PR
Other
Enumeration date
02/19/2016
Last updated
09/09/2016
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