Organization
PEDIATRIX MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORIS SAURE (BILLING MANAGER)
(787) 999-0753
Entity
Organization
Contact information
Practice address
PDA 37 AVE PONCE DE LEON, SAN JUAN, PR 00902
(787) 758-2000
(787) 758-8519
Mailing address
PO BOX 3916, GUAYNABO, PR 00970-3916
(787) 999-0753
(787) 999-0790
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
9989
PR
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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