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Organization

SAN JORGE CHILDRENS MEDICAL SPEIALTIES

Active
Other names
SJC Medical Specialties
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN L VELEZ (ADMIN)
(787) 728-1575
Entity
Organization

Contact information

Practice address
252 CALLE SAN JORGE STE 504, SAN JUAN, PR 00912-3241
(787) 728-1575
(787) 726-0402
Mailing address
252 CALLE SAN JORGE, SAN JORGE MEDICAL BLDG 504, SANTURCE, PR 00912-3239
(787) 728-1575
(787) 726-0402

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
11147
PR
174400000X
Specialist
12902
PR
174400000X
Specialist
13693
PR
174400000X
Specialist
5762
PR
174400000X
Specialist
9083
PR
174400000X
Specialist
9183
PR
2080P0207X
Pediatric Hematology & Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12501
TRIPLE S
PR
01
20062
TRIPLE S
PR
05
37442100
PR
Enumeration date
09/09/2010
Last updated
08/07/2024
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