NPIMap

Organization Active NPI

San Jorge Children's Medical Specialties,PSC

  • Oncology Clinic/Center
  • San Juan, PR
National Provider Identifier
1043412752
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
05-B-1068 Issued in 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
Last updated
Apr 24, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAN JORGE CHILDRENS' MEDICAL SPECIALTIES, PSCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Luis A. Clavell, M.D.NPI 1487639845
Title
Director
Phone
(787) 728-1575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

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

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 names 2

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

National Provider Directory

National Provider Directory
Tax ID family
San Jorge Children's Medical Specialtiespsc2 organizations share this tax ID, including this one
Part of
San Jorge Children's Medical Specialtiespsc

Other organizations with this tax ID 1

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

Locations

252 Calle San Jorge
Santurce, PR 00912
Phone (787) 398-8716

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776988800000",
    "number": "1043412752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-728-1575",
            "fax_number": "787-726-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009123239",
            "telephone_number": "787-728-1575",
            "fax_number": "787-726-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JORGE CHILDREN'S MEDICAL SPECIALTIES,PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JORGE CHILDRENS' MEDICAL SPECIALTIES, PSC",
        "enumeration_date": "2007-06-04",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A",
        "authorized_official_last_name": "CLAVELL",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-728-1575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PR",
            "license": "05-B-1068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jorge Children's Medical Specialties Amb. Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "San Jorge Children's Medical Specialties Amb. Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "SJC MEDICAL SPECIALTIES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.