NPIMap

Organization Active NPI

San Jorge General Pediatric Medical Group

  • Medical Specialty Clinic/Center
  • San Juan, PR
National Provider Identifier
1508248196
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
SAN JORGE GENERAL PEDIATRIC MEDICAL GROUP
Practice address
258 Calle San Jorge
San Juan, PR 00912
Phone
(787) 641-1919
NPI assigned
Jun 19, 2015
Organization subpart
Yes
Parent organization
SAN JORGE CHILDREN'S HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Ricardo Torres
Title
Consultant
Phone
(787) 309-7626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

258 Calle San Jorge
San Juan, PR 00912

Mailing address

PO Box 6308
San Juan, PR 00914-6308

National Provider Directory

National Provider Directory
Tax ID family
San Jorge Chiropractic Services6 organizations share this tax ID, including this one
Part of
San Jorge Chiropractic Services

Other organizations with this tax ID 5

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1508248196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6308",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009146308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CALLE SAN JORGE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-641-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JORGE GENERAL PEDIATRIC MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAN JORGE CHILDREN'S HOSPITAL INC",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "787-309-7626"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 19, 2015; 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.