NPI 1114122900

Pediatrix Medical Group

Organisation Pediatric Nephrology Physician San Juan, PR

Practice location

Address: Pda 37 Ave Ponce de Leon, San Juan, PR 00902
Phone: (787) 758-2000
Fax: (787) 758-8519
Mailing address: PO Box 3916, Guaynabo, PR 00970-3916

Authorised official

Name: Doris Saure
Title: Billing Manager
Phone: (787) 999-0753

Registered specialties

Pediatric Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080P0210X Licence 9989 (PR)

Other Pediatrics providers in Puerto Rico →

Registry record

NPI: 1114122900
Entity type: Organization
NPI issued: 20 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.