San Jorge Children'S Medical Specialties,PSC

Organization Active NPI Oncology Clinic/Center · San Juan, PR

NPI 1043412752 · NPPES record last updated Apr 24, 2026

Key facts

NPI
1043412752
Entity type
Organization (NPI type 2)
Primary specialty
Oncology Clinic/Center 261QX0200X
License
05-B-1068 (PR)
Legal business name
SAN JORGE CHILDREN'S MEDICAL SPECIALTIES,PSC
Practice address
252 Calle San Jorge
San Juan, PR 00912-3239
Phone
(787) 728-1575
Fax
(787) 726-0402
NPI assigned
Jun 4, 2007
Organization subpart
Yes
Parent organization (as reported)
SAN JORGE CHILDRENS' MEDICAL SPECIALTIES, PSC

Authorized official

Name
Dr. Luis A. Clavell, M.D.
Title
Director
Phone
(787) 728-1575

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
San Jorge Children'S Medical Specialtiespsc (2 organizations share this tax ID)
Part of
San Jorge Children'S Medical Specialtiespsc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
2080P0207X
Oncology Clinic/Center 261QX0200X 05-B-1068 PR Yes

Addresses

Primary practice location

252 Calle San Jorge
San Juan, PR 00912-3239

Mailing address

252 Calle San Jorge
San Juan, PR 00912-3239
Phone (787) 728-1575

Other identifiers

IdentifierTypeStateIssuer
037427900MedicaidPR
12501OtherPRTRIPLE S
20062OtherPRTRIPLE S
37427900MedicaidPR

Other names

  • San Jorge Children's Medical Specialties Amb. Services Former legal business name
  • SJC MEDICAL SPECIALTIES Other name

Other providers in San Juan, PR

All providers in San Juan, PR · Oncology Clinic/Center in Puerto Rico

Sources for this page

Verify at the official NPI Registry.