PEDIATRIX MEDICAL GROUP, S.P. (NPI# 1528046075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528046075 |
| Entity Type | Organization |
| Organization Name | PEDIATRIX MEDICAL GROUP, S.P. |
| Practice Address |
6 Calle 1 Ste 202 Metro Office Park Guaynabo PR 00968-0032 |
| Mailing Address |
Po Box 11913 San Juan PR 00922-1913 |
| Practice Telephone | 7879990753 |
| Practice Fax Number | 7879990789 |
| Mailing Telephone | 7879990753 |
| Mailing Fax Number | 7879990789 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MRS. SHIRLEY CHINEA (PROVIDER ENROLLMENT ASSOCIATE) |
| Authorized Official Telephone | 7879990753 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
PR | Allopathic & Osteopathic Physicians | |
| N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
PR | Allopathic & Osteopathic Physicians | |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
PR | Allopathic & Osteopathic Physicians | |
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
PR | Allopathic & Osteopathic Physicians | |
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians | ||
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
PR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | TAX ID | 1528046075 | 01 |
| Street Address |
6 CALLE 1 STE 202 METRO OFFICE PARK |
| City | GUAYNABO |
| State | PR |
| Zip Code | 00968-0032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820820 | Stat Mobile Diagnostic Imaging Group LLC | Physiological Laboratory | Metro Park 7, Street # 1, Suite 305, Guaynabo, PR 00968 | 2020-10-30 |
| 1881291300 | Smart Assistance Services Inc. | Non-emergency Medical Transport (VAN) | Calle 1, Metro Office Park 8, Suite 306, Guaynabo, PR 00968 | 2020-10-07 |
| 1245845064 | Felix Guerra | Pharmacist | 1 Ave Roosevelt, Guaynabo, PR 00968 | 2020-09-09 |
| 1144852138 | Sebastian Quinones | Clinic/Center | Urb Caparra Hills, E-6 Calle Eucalipto, Guaynabo, PR 00968 | 2020-02-07 |
| 1427691146 | Janice Gonzalez-sanchez | Psychologist | San Patricio Office Center, Calle Tabonuco 7 Suite 104, Guaynabo, PR 00968 | 2019-10-25 |
| 1548802853 | Freddie Boria Sr. | Ambulance | 100 Carr. 165 Centro Internacional De Mercadeo, Suite 409, Guaynabo, PR 00968 | 2019-10-09 |
| 1689238404 | Clinica Terapeutica Mon Quiromasaje, Psc | Massage Therapist | City View Plaza 48 Pr 165, Torre I Suite P 100, Guaynabo, PR 00968 | 2019-04-26 |
| 1831673573 | United Three Brothers Inc. | Pharmacy | 1498 Avenida Roosevelt Local 19a, Plaza Caparra Shopping Center, Guaynabo, PR 00968 | 2018-09-19 |
| 1649762378 | Citywide Group, Inc. | Ambulance | 100 Carr 165 Centro Internacional De Mercadeo, Suite 409, Guaynabo, PUERTO RICO 00968 | 2018-05-30 |
| 1063919124 | Centro De Reconstruccion Oral E Implantes | Clinic/Center | Calle 1 Esq 6 Urb Parkside Cond San Patricio II, Suite 1, Guaynabo, PR 00968 | 2018-04-06 |
| Find all providers in zip 00968 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578767554 | Gloria Leavitt | Pediatrics | Private Mail Box # 353, 35 Jc De Borbon Suite 67, Guaynabo, PR 00969-5375 | 2007-06-13 |
| 1184726333 | Rafael Humberto Zapata | Pediatrics | #19 1st Street, Mansiones Tintillo Hills, Guaynabo, PR 00966-1692 | 2006-09-01 |
| 1720058159 | Carlos A Perez | Pediatrics | Carr. 199 Km. 17.7, 3rd Floor Pediatrix Medical Group, Guaynabo, PR 00969 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467992396 | Servicios Neonatales Del Este Csp | Pediatrics | 111 Calle 1, Paseo Las Vistas, San Juan, PR 00926-5943 | 2017-02-25 |
| 1134368822 | Western Neonatal Services, Csp | Pediatrics | Edif Medico Iv # Ofic203, Calle Dr Basora 55n, Mayaguez, PR 00680-4810 | 2009-02-19 |
| 1598969677 | Nydia M. Velez | Pediatrics | 525 Calle Angel M Marin, Arecibo, PR 00612-3642 | 2007-06-13 |
| 1366644817 | Carmen Belen Concepcion | Pediatrics | 1696 Calle Orinoco, El Cerezal, San Juan, PR 00926-3139 | 2007-06-05 |
| 1184832610 | Jose A Capriles | Pediatrics | Graduate School of Public Health - Upr, Puerto Rico Medical Center - Medical Sciences Campus, San Juan, PR 00936-5067 | 2007-05-18 |
| 1083827067 | Edgardo E Jimenez | Pediatrics | B13 Calle Trevi, San Juan, PR 00926-6478 | 2007-05-07 |
| 1013131432 | Neonatologist Associates, P.s.c. | Pediatrics | Ave. Universidad Interamericana, # 25 B, San German, PR 00683 | 2007-04-13 |
| 1255479762 | Adel R Vargas | Pediatrics | Urb. Mariolga Luis Munoz Marin Hosp.hima, Suite 103, Caguas, PR 00726-4980 | 2007-02-05 |
| 1770620346 | Rafael A. Rosario | Pediatrics | Atlanta Street C8, Urb Olympic Ville, Las Piedras, PR 00771 | 2007-01-31 |
| 1669538385 | Alvaro A Santaella | Pediatrics | Ave Font Martelo 317, Nursery, Humacao, PR 00792-0000 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
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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.