Organization
PEDIATRICS MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL VILLAVICENCIO-CAMACHO (PRESIDENT)
(787) 447-6160
Entity
Organization
Contact information
Practice address
1785 CARR 21 STE 102, SAN JUAN, PR 00921-3399
(787) 782-9999
Mailing address
1785 CARR21 LAS LOMAS, SAN JUAN, PR 00921
(787) 782-9999
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13438
PR
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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