Pediatrics Management Services

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

13438 Issued in PR

Legal business name

PEDIATRICS MANAGEMENT SERVICES

Practice address

1785 Carr 21 Ste 102
San Juan, PR 00921-3399

Phone

(787) 782-9999

NPI assigned

Jun 7, 2012

Last updated

Jun 7, 2012By 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. Rafael Villavicencio-Camacho

Title

President

Phone

(787) 447-6160

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1922369867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 CARR21 LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-782-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1785 CARR 21 STE 102",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213399",
            "telephone_number": "787-782-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "VILLAVICENCIO-CAMACHO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-447-6160",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "13438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Care PR LLC (St Gianna Pediatrics)
• Pediatric Gynecology of Puerto Rico LLC
• Pediatric Home Care Services LLC
• Pediatric Neuromuscular LLC
• Pediatric Surgical Services PSC
• Pediatrix Medical Group
• Rene Arturo Pedraza Espada
• Grisel Marie Pedraza-Rosa, M.D.
• Caroline M Pedraza, MSW
• Lourdes R. Pedraza, MD

• Medical Specialty Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.