Organization
SAN JORGE CHILDREN'S MEDICAL SPECIALTIES,PSC
Active
Parent organization
SAN JORGE CHILDRENS' MEDICAL SPECIALTIES, PSC
Other names
San Jorge Children's Medical Specialties Amb. Services, SJC MEDICAL SPECIALTIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAN JORGE CHILDRENS' MEDICAL SPECIALTIES, PSC
Authorized official
DR. LUIS A. CLAVELL M.D. (DIRECTOR)
(787) 728-1575
Entity
Organization
Contact information
Practice address
252 CALLE SAN JORGE, SAN JUAN, PR 00912-3239
(787) 728-1575
(787) 726-0402
Mailing address
252 CALLE SAN JORGE, SAN JUAN, PR 00912-3239
(787) 728-1575
(787) 726-0402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5762
PR
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
261QX0200X
Oncology Clinic/Center
Primary
05-B-1068
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037427900
—
PR
01
—
12501
TRIPLE S
PR
01
—
20062
TRIPLE S
PR
05
—
37427900
—
PR
Enumeration date
06/04/2007
Last updated
04/24/2026
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