PUERTO RICO PEDIATRIC SURGERY GROUP PSC (NPI# 1902265887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902265887 |
| Entity Type | Organization |
| Organization Name | PUERTO RICO PEDIATRIC SURGERY GROUP PSC |
| Practice Address |
76 Calle Aquamarina San Juan PR 00926-7067 |
| Practice Telephone | 7874039370 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-09-09 |
| Authorized Official Name | JORGE J. ZEQUEIRA (PRESIDENT) |
| Authorized Official Telephone | 7874039370 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
17,885 | PR | Allopathic & Osteopathic Physicians |
| Street Address |
76 CALLE AQUAMARINA |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00926-7067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023081 | Urology Hub LLC | Internal Medicine | 940 Los Romero St Suite 1540, San Juan, PR 00926 | 2020-11-06 |
| 1700487246 | Elimaliel Suarez Cortes | Psychologist | Carr 877 Km1.6, Camino Las Lomas, San Juan, PR 00926 | 2020-11-02 |
| 1407455405 | Ricardo Enrique Jimenez Ramos | Pharmacist | Professional Offices Park, 1001 Calle San Roberto Suite 101, San Juan, PR 00926 | 2020-10-21 |
| 1679180806 | Nicolle Rodriguez Mercado | Occupational Therapist | Expresso Trujillo Alto Pr-181 Carretera 846, Trujillo Medical, San Juan, PR 00926 | 2020-10-01 |
| 1700493616 | Mana Home Associates, Inc | PACE Provider Organization | 671 Avenida Acuario, Urb Venus Gardens, San Juan, PR 00926 | 2020-09-24 |
| 1497361117 | Victor Francisco Rivera Beltran Sr. | General Practice | 455 Calle Lirio, Mansiones De Rio Piedras, San Juan, PR 00926 | 2020-09-17 |
| 1053925370 | Rafael Esteban Amador Gonzalez | Student in an Organized Health Care Education/Training Program | La Campina 79 Calle 1, San Juan, PR 00926 | 2020-09-03 |
| 1366053811 | Diana Paola Rivera | Psychologist | 706 Avenida Escorial, Caparra Heights, San Juan, PR 00926 | 2020-08-10 |
| 1831708437 | Gymar M Vargas | Student in an Organized Health Care Education/Training Program | Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 | 2020-07-29 |
| 1558979427 | Luis Hiram Zayas Martinez | Social Worker | Calle 8 #373 Ext San Agustin, San Juan, PR 00926 | 2020-07-16 |
| Find all providers in zip 00926 | ||||
| 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 |
|---|---|---|---|---|
| 1881841260 | Pediatric Surgical Services Psc | Surgery | San Jorge Hospital Medical Office Building #301, San Juan, PR 00912 | 2008-08-27 |
| 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.