Organization
PEDIATRIC MANAGEMENT & EMERGENCY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FERNANDO VEGA-MORAL MD (PRESIDENT)
(787) 405-0560
Entity
Organization
Contact information
Practice address
503 CALLE EXT S, DORADO, PR 00646-5016
(787) 796-2994
Mailing address
PO BOX 644, DORADO, PR 00646-0644
(787) 405-0560
(787) 796-2994
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
12/28/2015
Last updated
12/28/2015
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