Active NPIOrganization

Roosevelt Pediatric Group

Pediatrics in San Juan, Puerto Rico

NPI Number1336101112
Practice location
576 Calle Cesar Gonzalez, Suite 404, San Juan, PR 00918-3756
Fax
787-764-3927
Last updated
October 14, 2008

Roosevelt Pediatric Group is a healthcare organization based in San Juan, PR. Roosevelt Pediatric Group practices in San Juan, PR. The NPI Number for Roosevelt Pediatric Group is 1336101112. The current practice location address for Roosevelt Pediatric Group is 576 Calle Cesar Gonzalez, Suite 404, San Juan, PR 00918-3756 and can be reached out via phone at 787-753-1097 and via fax at 787-764-3927.

Provider Profile Details

NPI Number
1336101112
Provider Name
Roosevelt Pediatric Group
Provider Entity Type
Organization
Address
576 Calle Cesar Gonzalez, Suite 404, San Juan, PR 00918-3756
Phone Number
787-753-1097
Fax Number
787-764-3927
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Marco Antonio Perez-Davila, MD · Senior Partner · 787-753-1097
Provider Enumeration Date
April 5, 2006
Last Update Date
October 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
576 Calle Cesar Gonzalez
Suite 404
San Juan, PR 00918-3756
Zip
00918-3756
Phone Number
787-753-1097
Fax Number
787-764-3927
San Juan, PR 00918Get directions →

Provider Business Mailing Address Details

Address
576 Calle Cesar Gonzalez
Suite 404
San Juan, PR 00918-3756
City
San Juan
State
PR
Zip
00918-3756
Phone Number
787-753-1097
Fax Number
787-764-3927

License Information

Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Roosevelt Pediatric Group?

The NPI number of Roosevelt Pediatric Group is 1336101112. It was assigned on April 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Roosevelt Pediatric Group?

Roosevelt Pediatric Group is registered under the primary taxonomy Pediatrics (code 208000000X).

Where does Roosevelt Pediatric Group practice?

The practice location is 576 Calle Cesar Gonzalez, Suite 404, San Juan, PR 00918-3756. The office can be reached at 787-753-1097 (phone) or 787-764-3927 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336101112 directly on the NPPES registry website.

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