Organization Active NPI

Ashford Pediatric Group Partnership

  • Pediatrics Physician
  • San Juan, PR
National Provider Identifier
1730238429
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ASHFORD PEDIATRIC GROUP PARTNERSHIP
Practice address
29 Calle Washington
Suite 108-B Ashford Medical Center
San Juan, PR 00907-1510
Phone
(787) 725-1118
Fax
(787) 725-0909
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Miguel A De Jesus, M.D.
Title
Partner
Phone
(787) 725-1118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

29 Calle Washington
Suite 108-B Ashford Medical Center
San Juan, PR 00907-1510

Mailing address

29 Calle Washington
Suite 108-B Ashford Medical Center
San Juan, PR 00907-1510
Phone (787) 725-1118

National Provider Directory

National Provider Directory

Locations

29 Calle Washington
Ste 108B
San Juan, PR 00907
Phone (787) 725-1118

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730238429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "SUITE 108-B ASHFORD MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-725-1118",
            "fax_number": "787-725-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CALLE WASHINGTON",
            "address_2": "SUITE 108-B ASHFORD MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071510",
            "telephone_number": "787-725-1118",
            "fax_number": "787-725-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD PEDIATRIC GROUP PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "787-725-1118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "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 Aug 22, 2020; 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.