| NPI | 1093800534 |
|---|---|
| Doing Business As | SAN JUAN PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | KIM BYRD Administrative Director Of Reimburs 505-609-2258 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-07-16 |