Organization
PEDIATRIX MEDICAL GROUP OF PUERTO RICO, P.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDY VELAZQUEZ (BILLING, COLLECTIONS & HA SUPERVISO)
(787) 999-0753
Entity
Organization
Contact information
Practice address
1451 AVE ASHFORD, CONDADO, SAN JUAN, PR 00907-1511
(787) 722-6004
(787) 722-6003
Mailing address
PO BOX 11913, SAN JUAN, PR 00922-1913
(787) 999-0753
(787) 651-1794
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
PR
Other
Enumeration date
01/05/2006
Last updated
04/16/2026
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