Organization
PUERTO RICO PEDIATRIC SURGERY GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J. ZEQUEIRA MD (PRESIDENT)
(787) 403-9370
Entity
Organization
Contact information
Practice address
76 CALLE AQUAMARINA, SAN JUAN, PR 00926-7067
(787) 403-9370
Mailing address
76 CALLE AQUAMARINA, SAN JUAN, PR 00926-7067
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
17,885
PR
Other
Enumeration date
02/19/2016
Last updated
09/09/2016
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