| Pediatrix Medical Group, S.p. | |
|
6 Calle 1 Ste 202 Metro Office Park Guaynabo PR 00968-0032 | |
| (787) 999-0753 | |
| (787) 999-0789 |
| Full Name | Pediatrix Medical Group, S.p. |
|---|---|
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 6 Calle 1 Ste 202, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Shirley Chinea (PROVIDER ENROLLMENT ASSOCIATE) |
| Authorized Official Contact | 7879990753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatrix Medical Group, S.p. Po Box 11913 San Juan PR 00922-1913 Ph: (787) 999-0753 | Pediatrix Medical Group, S.p. 6 Calle 1 Ste 202 Metro Office Park Guaynabo PR 00968-0032 Ph: (787) 999-0753 |
| NPI Number | 1528046075 |
|---|---|
| Provider Enumeration Date | 01/05/2006 |
| Last Update Date | 07/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528046075 | NPI | - | NPPES |
| 1528046075 | Other | PR | TAX ID |
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