Organization
GRUPO INTENSIVO PEDIATRICO DE SAN JUAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE R RODRIGUEZ-SANTANA MD (PRESIDENT)
(787) 726-0210
Entity
Organization
Contact information
Practice address
252 CALLE SAN JORGE, MEDICAL OFFICE BUILDING SUITE 406, SAN JUAN, PR 00912-3310
(787) 726-0210
(787) 728-5136
Mailing address
252 CALLE SAN JORGE, MEDICAL OFFICE BUILDING SUITE 406, SAN JUAN, PR 00912-3310
(787) 726-0210
(787) 728-5136
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89351
TRIPLE S
PR
Enumeration date
11/30/2005
Last updated
08/22/2020
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