Puerto Rico Pediatric Surgery Group PSC

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

17,885 Issued in PR

Legal business name

PUERTO RICO PEDIATRIC SURGERY GROUP PSC

Practice address

76 Calle Aquamarina
San Juan, PR 00926-7067

Phone

(787) 403-9370

NPI assigned

Feb 19, 2016

Last updated

Sep 9, 2016By 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

Jorge J. Zequeira, MD

Title

President

Phone

(787) 403-9370

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Jorge J. Zequeira Diaz, M.D.

  • Pediatric Surgery Physician
  • San Juan, PR
  • NPI 1205030988
  NPD (past)

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

{
    "created_epoch": "1455840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1902265887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 CALLE AQUAMARINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 CALLE AQUAMARINA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267067",
            "telephone_number": "787-403-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO PEDIATRIC SURGERY GROUP PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-19",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "ZEQUEIRA",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-403-9370",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "PR",
            "license": "17,885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puerto Rico Medical Transport, Inc. (Transmedical Health Services)
• Puerto Rico Medical Transportation, Inc.
• Puerto Rico Metropolitan Urology LLC
• Puerto Rico Orthopedic Sports Medicine LLC
• Puerto Rico Pathology Associates P
• Puerto Rico Perfusion Inc.
• Puerto Rico Skin & Laser LLC
• Puerto Rico Therapy Group, Inc
• Puerto Rico Vascular Access Center PSC
• Gisela D Puig Carrion, M.D.

• Pediatric Surgery Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatric Surgery Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.