B&G Pediatric Group P.S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

3776 Issued in PR

Legal business name

B&G PEDIATRIC GROUP P.S.C.

Practice address

Hacienda San Jose 761 Via Destello
Caguas, PR 00727-3111

Phone

(787) 205-2114

Fax

(787) 286-6161

NPI assigned

May 14, 2007

Last updated

Mar 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Juitxa J Baez de Leon, M.D.

Title

President

Phone

(787) 205-2114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1760697684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "VIA DESTELLO 761",
            "address_2": "HACIENDA SAN JOSE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273111",
            "telephone_number": "787-205-2114",
            "fax_number": "787-286-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HACIENDA SAN JOSE 761 VIA DESTELLO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007273111",
            "telephone_number": "787-205-2114",
            "fax_number": "787-286-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&G PEDIATRIC GROUP P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "BAEZ DE LEON",
        "authorized_official_first_name": "JUITXA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-205-2114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "3776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mayra Ayala
• Mayra I Ayala, CPHT
• Lisbeth Azuaje, PHD
• Azul Salud Mental Para Ninos Y Adolescentes
• B Derm PSC
• Back to Wellness Chiropractic LLC
• Back2Healthdoc LLC
• Jesica Naomi Baez Febus
• Virgen M Baez Hernandez, MD
• Hector Baez Lopez

• Specialist in Caguas, PR
• Providers in Caguas, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.