PEDIATRICS & SPORTS MEDICINE P.S.C.


Address: Urb Santa Juanita, Calle Quintana Bh9, Bayamon, PR 00956
Phone: 9392641889

PEDIATRICS & SPORTS MEDICINE P.S.C. (NPI# 1245665140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245665140
Entity Type Organization
Organization Name PEDIATRICS & SPORTS MEDICINE P.S.C.
Practice Address Urb Santa Juanita, Calle Quintana Bh9
Bayamon
PR 00956
Mailing Address Po Box 12336
San Juan
PR 00914-0336
Practice Telephone 9392641889
Enumeration Date 2013-09-10
Last Update Date 2020-08-14
Authorized Official Name JOSEPH FERNANDEZ (PRESIDENT)
Authorized Official Telephone 7324560209
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080S0010X Pediatrics
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address URB SANTA JUANITA, CALLE QUINTANA BH9
City BAYAMON
State PR
Zip Code 00956

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1750909495 Agustin Vazquez Physician Assistant Carr 167 Km 10.9, Bayamon, PR 00956 2020-07-09
1710509211 Carmen Luz Rosa Santiago Registered Nurse Carr 829 Km 5.2, Bo. Santa Olaya, Bayamon, PR 00956 2020-05-07
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Taxonomy Information

Taxonomy Code 2080S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Sports Medicine

Taxonomy Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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) is provided by the American Osteopathic Board of Pediatrics.

Competitor

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City BAYAMON
Zip Code 00956

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Dataset Information

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.

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