SAN JORGE GENERAL PEDIATRIC MEDICAL GROUP (NPI# 1508248196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508248196 |
| Entity Type | Organization |
| Organization Name | SAN JORGE GENERAL PEDIATRIC MEDICAL GROUP |
| Practice Address |
258 Calle San Jorge San Juan PR 00912 |
| Mailing Address |
Po Box 6308 San Juan PR 00914-6308 |
| Practice Telephone | 7876411919 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |
| Authorized Official Name | RICARDO TORRES (CONSULTANT) |
| Authorized Official Telephone | 7873097626 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAN JORGE CHILDREN'S HOSPITAL INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
258 CALLE SAN JORGE |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122641 | Luis Francisco Cordero Rodriguez | Anesthesiology | 258 Calle San Jorge, San Juan, PR 00912-3239 | 2005-05-31 |
| 1952947624 | Lorena Berrios Caldero | Pharmacist | 258 Calle San Jorge, San Juan, PR 00912-0814 | 2019-11-18 |
| 1336606581 | Radiologia San Jorge | Radiology | 258 Calle San Jorge, San Juan, PR 00912 | 2019-02-25 |
| 1649700535 | Grupo Hospitalistas San Jorge | Hospitalist | 258 Calle San Jorge, San Juan, PR 00912 | 2017-06-14 |
| 1174984611 | Trizia Isaac | Registered Nurse | 258 Calle San Jorge, San Juan, PR 00912 | 2016-03-11 |
| 1770716466 | Sanet Torres-torres | Pediatrics | 258 Calle San Jorge, Santurce, San Juan, PR 00912 | 2009-08-27 |
| 1255528048 | Georgette M. De Jesus | Psychiatry & Neurology | 258 Calle San Jorge, Suite 203, San Juan, PR 00912 | 2007-09-26 |
| 1336335009 | Hilda Sulema Diaz | Pediatrics | 258 Calle San Jorge, Oficina #406, San Juan, PR 00912 | 2007-09-17 |
| 1811022452 | Carmen Irizarry-hernandez | Psychologist | 258 Calle San Jorge, Suite 204, San Juan, PR 00912-3239 | 2007-02-23 |
| 1053457630 | Ivonne Marquez Valencia | Radiology | 258 Calle San Jorge, San Juan, PR 00912 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860869 | Lismary Colon Matias | Speech-Language Pathologist | Avenida Ponce De Leon #1607, Cobian's Plaza Building, San Juan, PR 00912 | 2020-10-27 |
| 1972126258 | Neuropedeegpr LLC | Physiological Laboratory | Calle San Jorge #258 San Jorge Medical Building Suite 3, Santurce, PR 00912 | 2020-05-21 |
| 1801415047 | Racc | Surgery | #373 Calle San Jorge, Piso#2, Santurce, PR 00912 | 2020-04-08 |
| 1588299333 | Yanelis Perez Pina | Registered Nurse | 1600 Ave De La Constitucion, San Juan, PR 00912 | 2020-03-11 |
| 1558919233 | Aura Colon Rivera | Psychologist | Calle San Jorge, 258, San Juan, PR 00912 | 2019-08-27 |
| 1467923276 | Zuleika Montanez | Registered Nurse | 1600 Avenida Juan Ponce De Leon, San Juan, PR 00912 | 2018-12-06 |
| 1528584232 | Indhira M Rivas | Psychologist | 1551 Calle Victoria Santurce, San Juan, PR 00912 | 2017-08-15 |
| 1881146728 | Sebastian Cambo | Psychologist | 1801 Ave Ponce De Leon Suite 411, Santurce Medical Mall, San Juan, PR 00912 | 2016-10-26 |
| 1528430816 | Abner Martinez | Pharmacist | Calle Labra Esquina Corchado Parada 18, San Juan, PR 00912 | 2015-10-26 |
| 1609282300 | Mariola Llinas Messeguer | Obstetrics & Gynecology | 252 San Jorge Medical Building, Suite 405, Santurce, PR 00912 | 2014-07-02 |
| Find all providers in zip 00912 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081780 | A R Quinones, Md LLC | Clinic/Center | 939 Campo Rico Ave, San Juan, PR 00924 | 2020-10-21 |
| 1417408790 | Lms Services, LLC | Clinic/Center | 404 Ave De La Constitucion, Cond. Atlantis Apt. 1503, San Juan, PR 00901-2236 | 2016-10-20 |
| 1154761088 | Juan N Valentin | Clinic/Center | Universidad De Puerto Rico Recinto De Ciencias Medicas, Departamento De Pm&r 2do Piso Oficina A204, San Juan, PR 00936-0001 | 2013-06-25 |
| 1922369867 | Pediatrics Management Services | Clinic/Center | 1785 Carr 21 Ste 102, San Juan, PR 00921-3399 | 2012-06-07 |
| 1225399439 | Skin By Brau LLC | Clinic/Center | 400 Ave Fd Roosevelt Ste 511, San Juan, PR 00918-2163 | 2012-06-04 |
| 1336461672 | Centro De Hematologia Y Oncologia Medica Ashford Psc | Clinic/Center | Ashford Ave and Washington St 29, Suite 604, San Juan, PR 00907 | 2010-02-26 |
| 1649501800 | Ernesto Munoz Vilches C.s.p. | Clinic/Center | Washignton #29 Ashford Medical Center, Suite 208 -b, San Juan, PR 00907 | 2010-01-27 |
| 1477880631 | Dra.lillian Montalvo Dermatologa Psc | Clinic/Center | 142 Calle Del Parque, Suite 1, San Juan, PR 00911-1965 | 2009-11-09 |
| 1881823607 | Clinica De Neurologia Y Medicina Neuromuscular, Inc. | Clinic/Center | Ave Jesus T Pinero # 282, Edificio Plaza El Amal #210, San Juan, PR 00918-4003 | 2009-07-14 |
| 1457513657 | Dr David E Martinez Melendez Servicios Reumatologicos Csp | Clinic/Center | 138 Ave Winston Churchill # Msc753, San Juan, PR 00926-6013 | 2008-06-28 |
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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.