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St Gianna Pediatrics

Pediatrics in San Juan, PR. Organization (NPI-2).

NPI number1649546136
StatusActive
Last updated in NPPESMar 28, 2012

Details

NPI
1649546136
Entity type
Organization (NPI-2)
Legal business name
St Gianna Pediatrics
Organization subpart
No
Enumeration date
Mar 28, 2012
Last updated
Mar 28, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics–PRYes

Practice location

312 Ave De Diego
Suite 606
San Juan, PR 00909-1756

Phone 787-375-9090

Mailing address

Po Box 41234
San Juan, PR 00940-1234

Phone 787-375-9090

Authorized official

Olga M Lliteras
Presidenta
7873759090

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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