PEDIATRIX MEDICAL GROUP (NPI# 1114122900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114122900 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX MEDICAL GROUP |
| Practice Address |
Pda 37 Ave Ponce De Leon San Juan PR 00902 |
| Mailing Address |
Po Box 3916 Guaynabo PR 00970-3916 |
| Practice Telephone | 7877582000 |
| Practice Fax Number | 7877588519 |
| Mailing Telephone | 7879990753 |
| Mailing Fax Number | 7879990790 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DORIS SAURE (BILLING MANAGER) |
| Authorized Official Telephone | 7879990753 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
9989 | PR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881619781 | Pediatrix Medical Group | Nurse Practitioner | 2620 W 143rd St, Leawood, KS 66224-9679 | 2006-07-12 |
| 1326399601 | Pediatrix Medical Group | General Acute Care Hospital | 615 S New Ballas Rd, Neonatal Intensive Care Unit, Saint Louis, MO 63141-8221 | 2012-09-26 |
| 1093959157 | Pediatrix Medical Group | Nurse Practitioner | 7101 Jahnke Rd, Richmond, VA 23225-4017 | 2009-04-20 |
| 1467677476 | Pediatrix Medical Group | General Acute Care Hospital | 777 Hemlock St, Box 119, Macon, GA 31207-0001 | 2007-04-16 |
| 1730265166 | Pediatrix Medical Group | General Acute Care Hospital | 2811 Tieton Dr, Yakima, WA 98902-3761 | 2006-10-27 |
| 1326150426 | Pediatrix Medical Group | General Acute Care Hospital | 4401 Wornall Rd, Kansas City, MO 64111-3220 | 2006-08-31 |
| 1235168980 | Pediatrix Medical Group | Pediatrics | 621 S New Ballas Rd, Suite 2016b, Saint Louis, MO 63141-8232 | 2006-07-02 |
| 1740234145 | Pediatrix Medical Group | General Acute Care Hospital | 1201 W 38th St, Neonatal Department, Austin, TX 78705-1006 | 2006-05-20 |
| 1023069036 | Pediatrix Medical Group | General Acute Care Hospital | 5149 N 9th Ave, Pensacola, FL 32504-8756 | 2006-05-14 |
| 1972554962 | Pediatrix Medical Group | Nurse Practitioner | 3001 E President George Bush Hwy, Suite 250, Richardson, TX 75082-3542 | 2006-05-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PEDIATRIX MEDICAL GROUP OF COLORADO, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Alabama Business Registrations | Pediatrix Medical Group of Florida, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Indiana Business Entities | PEDIATRIX MEDICAL GROUP OF INDIANA, P.C. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Oregon Corporations, Companies and Business Names | PEDIATRIX MEDICAL GROUP OF OREGON | 1301 Concord Terr, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group of the Mid-Atlantic P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Washington State Corporations | PEDIATRIX MEDICAL GROUP OF WASHINGTON, INC., P.S. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Virginia Business Entities | Pediatrix Medical Group P.C. | 1301 Concord Terrace, Sunrise, Florida 33323 |
| Virginia Business Entities | Pediatrix Medical Group Regional Inc. | 1301 Concord Ter, Sunrise, Florida 33323 |
| Colorado Business Entities | Pediatrix Medical Group, Inc. | 1301 Concord Terrace, Sunrise, FL 33323 |
| Street Address |
PDA 37 AVE PONCE DE LEON |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497217442 | Healthstat Clinics LLC | Clinic/Center | L5 Condominio Crystal House, San Juan, PR 00902 | 2019-04-01 |
| 1982124145 | Jpm Ent Surgical LLC | Otolaryngology | Avenida Ashford #1451, San Juan, PR 00902 | 2017-06-20 |
| 1932453669 | Carlos Albizu University | Psychologist | Calle Tanca 151 Esquina San Francisco, Viejo San Juan, San Juan, PR 00902 | 2012-11-02 |
| 1255681466 | Jenny A Hernandez | Social Worker | Casa La Providencia Street Norzagaray, # 200, San Juan, PR 00902 | 2012-09-14 |
| 1235346438 | Grupo Medico Ipa 555 | Health Maintenance Organization | Calle San Francisco 405, Suite 2-c, San Juan, PR 00902 | 2007-05-17 |
| 1063581981 | Peter Rodriguez | Physician Assistant | Hangar 21, Isla Grande, San Juan, PR 00902 | 2006-11-07 |
| 1073584124 | Ruben A D'acosta Lugo | Specialist | 1451 Ashford Avenue, Ashford Presbyterian Community Hospital, San Juan, PR 00902 | 2006-01-27 |
| 1144788548 | Advanced Prenatal Diagnosis LLC | Obstetrics & Gynecology | 1451 Avenida Ashford, San Juan, PR 00902 | 2019-03-05 |
| 1205222999 | North Coast Rehab LLC | Physical Medicine & Rehabilitation | 1451 Ave Ashford, San Juan, PR 00902 | 2015-04-09 |
| 1528097615 | Annette Perez-delboy | Obstetrics & Gynecology | 1451 Avenida Ashford, San Juan, PR 00902 | 2006-07-01 |
| Find all providers in zip 00902 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271061 | Marta Pilar Suarez - Rivera | Pediatrics | Calle Convento Num. 252, San Juan, PR 00912 | 2008-07-09 |
| 1457469207 | Maria Arminda Gomez | Pediatrics | Puerto Rico Medical Center Bo. Monacillo, Hospital San Juan, San Juan, PR 00926 | 2006-08-29 |
| 1831129279 | Juan Ovidio Perez-rodriguez | Pediatrics | Ponce De Leon Ave., Auxilio Mutuo Hospital, Transplant Office, 2nd. Floor, San Juan, PR 00919-1227 | 2006-07-03 |
| 1932284262 | Recinto De Ciencias Medicas | Pediatrics | Ave. Americo Miranda Centro Medico De Pr Edif Principal, Escuela De Medicina Aptdo. 29134, San Juan, PR 00929-0134 | 2006-10-26 |
| 1982633012 | San Juan City Hospital | Pediatrics | San Juan City Hospital, Centro Medico, San Juan, PR 00928 | 2006-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093857583 | Recinto De Ciencias Medicas | Pediatrics | Ave. 65 De Infanteria Aptdo. 29207, Carolina, PR 00929-0207 | 2007-02-13 |
| 1255399036 | Victor Rafael Torres-santo Domingo Sr. | Pediatrics | #6 Jose De Diego Street, Carolina, PR 00985 | 2006-05-02 |
| 1275594715 | Noosha Baqi | Pediatrics | Hospital Hima- San Pablo, Ave General Valero # 404, Fajardo, PR 00738 | 2006-03-31 |
| 1982683983 | Jose Francisco Rivera Viera | Pediatrics | Street 1 Lot B-1, Villas De Loiza, Loiza, PR 00729 | 2006-01-10 |
| 1164671970 | Xamayta L Negroni-balasquide | Pediatrics | Bayamon Medical Plaza, Suite 910, Bayamon, PR 00960 | 2008-09-17 |
| 1831229715 | Recinto De Ciencias Medicas | Pediatrics | Ave. 65 De Infanteria, Aptdo.29207, Carolina, PR 00984 | 2007-03-07 |
| 1720122849 | Centro Medico Del Turabo Inc | Pediatrics | Hima San Pablo Caguas, Ave Munoz Marin Piso 1, Caguas, PR 00725 | 2007-02-20 |
| 1144286055 | Melvin A Bonilla-felix | Pediatrics | 252 Calle Convento, Santurce, PR 00912-3207 | 2006-04-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.