| NPI | 1043412752 |
|---|---|
| Former Legal Business Name | SAN JORGE CHILDREN'S MEDICAL SPECIALTIES AMB. SERVICES |
| Entity Type | Organization |
| Authorized Contact | LUIS A. CLAVELL Director 787-728-1575 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: PR 5762) |
| Additional Taxonomies | 261QX0200X Clinic/Center Oncology (Licence: PR 05-B-1068) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2024-08-07 |