Organization
JDO SERVICIOS PEDIATRICOS DE SUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN DOMINGO ORTIZ RIVERA M.D. (DOCTOR)
(787) 866-8301
Entity
Organization
Contact information
Practice address
HOSP EPISCOPAL CRISTO REDENTOR, AVE ALBIZU CAMPOS, GUAYAMA, PR 00784
(787) 866-8301
Mailing address
66 PARQ INTERAMERICANA, GUAYAMA, PR 00784-7337
(787) 866-8301
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
11176
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85083
TRIPLE-S PROVIDERS NUMBER
PR
Enumeration date
05/03/2007
Last updated
08/22/2020
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