Roosevelt Pediatric Group

LBN: Roosevelt Pediatric Group
Roosevelt Pediatric Group is an health care organization with primary practice located at 576 Calle Cesar Gonzalez Suite 404, San Juan PR 00918-3756. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Roosevelt Pediatric Group can be contacted via phone (787) 753-1097, or through Perez-Davila, Marco Antonio via phone (787) 753-1097.

Contact Information

Primary practice address
576 Calle Cesar Gonzalez Suite 404 San Juan PR 00918-3756
Phone: (787) 753-1097
Fax: (787) 764-3927
Website:
Map and Directions
Authorized official contact:
Name: Perez-Davila, Marco Antonio Doctor of Medicine (MD)
Phone: (787) 753-1097

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1336101112
LBN Legal business name Roosevelt Pediatric Group
DBA Doing business as
Authorized official Perez-Davila, Marco Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2006
Last updated Oct 14th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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