# PUERTO RICO PEDIATRIC SURGERY GROUP PSC

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

## Provider details

- **NPI number:** 1902265887
- **Authorized official:** JORGE J. ZEQUEIRA MD (PRESIDENT)
- **Authorized official phone:** (787) 403-9370

## Contact information

- **Practice address:** 76 CALLE AQUAMARINA, SAN JUAN, PR 00926-7067
- **Practice address phone:** (787) 403-9370
- **Mailing address:** 76 CALLE AQUAMARINA, SAN JUAN, PR 00926-7067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0120X | Pediatric Surgery Physician | 17,885 | PR | Yes |

## Other

- **Enumeration date:** 02/19/2016
- **Last updated:** 09/09/2016