PEDIATRIC SURGICAL SERVICES PSC (NPI# 1881841260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881841260 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SURGICAL SERVICES PSC |
| Practice Address |
San Jorge Hospital Medical Office Building #301 San Juan PR 00912 |
| Mailing Address |
400 Calle Calaf Pmb 423 San Juan PR 00918-1314 |
| Practice Telephone | 7877274953 |
| Mailing Telephone | 7873969245 |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-29 |
| Authorized Official Name | DR. AURELIO SEGUNDO (PRESIDENT) |
| Authorized Official Telephone | 7873969245 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
9557 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
SAN JORGE HOSPITAL MEDICAL OFFICE BUILDING #301 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00912 |
| 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 | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902265887 | Puerto Rico Pediatric Surgery Group Psc | Surgery | 76 Calle Aquamarina, San Juan, PR 00926-7067 | 2016-02-19 |
| 1205030988 | Jorge J. Zequeira Diaz | Surgery | Cirugia Pediatrica Rcm, Hospital Pediatrico Universitario Centro Medico De Pr, San Juan, PR 00935 | 2007-06-14 |
| 1144345315 | Teresita A. Aviles - Rodriguez | Surgery | Cirugia Pediatrica Segundo Piso, Hospital Pediatrico Universitario, Centro Medico De Pr, San Juan, PR 00935-0001 | 2007-03-20 |
| 1255487930 | Aurelio Segundo | Surgery | 252 San Jorge Ave., Suite 301, San Juan, PR 00912 | 2007-01-26 |
| 1588666770 | Ivan Figueroa-otero | Surgery | 252 Calle San Jorge, Ste 407, San Juan, PR 00912-3310 | 2005-06-01 |
| 1780034421 | Sanglan Pediatric Surgery LLC | Surgery | 735 Ave Ponce De Leon, Clinicas Pediatricas Hospital Auxilio Mutuo, San Juan, PR 00917-0000 | 2016-06-14 |
| 1811067580 | Recinto De Ciencias Medicas | Surgery | Centro Medico De Pr, Edif Principal Escuela De Medicina Aptdo. 29134, San Juan, PR 00929-0134 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150680 | Pediatric & General Surgery LLC | Surgery | 410 Ave Hostos Ste 123, Mayaguez, PR 00682-1560 | 2020-09-30 |
| 1639625783 | Astrid Rocio Soares Medina | Surgery | 2 Carr Puerto Rico, Av Hostos 410 Bo Sabalos Suite 116, Mayaguez, PR 00681-0000 | 2016-08-29 |
| 1114122207 | David John Calvesbert | Surgery | Na6 Calle Miramonte, Garden Hills, Guaynabo, PR 00966-2009 | 2007-06-19 |
| 1689891160 | Centro Medico Del Turabo Inc | Surgery | Hima San Pablo Caguas Cepa, Ave Luis Munoz Marin Primer Piso, Caguas, PR 00725 | 2007-04-19 |
| 1689663619 | Vidal Rosario Leon | Surgery | 108 Calle Jose C. Vazquez, Aibonito, PR 00705 | 2005-10-21 |
| 1275527780 | Victor N. Ortiz - Justiniano | Surgery | Puerto Rico Childrens Hospital Ofic. 302, Carr Num. 2 Km 11.7 Edif. Medical Plaza, Bayamon, PR 00960 | 2005-09-12 |
| 1568495190 | Centro De Cirugia Pediatrica | Surgery | Saint Lukes Memorial Hospital, Mercedita, PR 00715-0244 | 2006-07-08 |
| 1285602987 | Humberto Lugo Vicente | Surgery | 73 Calle Santa Cruz, Suite 309, Santa Cruz Medical Bldg., Bayamon, PR 00961-6910 | 2006-03-09 |
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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.