ROOSEVELT PEDIATRIC GROUP
NPI 1336101112
Pediatrics in San Juan, PR

Q: What is Roosevelt Pediatric Group's NPI number?

The NPI number for Roosevelt Pediatric Group is 1336101112. It was assigned to this organization in the NPPES registry on April 5, 2006.

Q: What is Roosevelt Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 05, 2006

576 CALLE CESAR GONZALEZ, SUITE 404, SAN JUAN, PR 00918(787) 753-1097(787) 764-3927 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Roosevelt Pediatric Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROOSEVELT PEDIATRIC GROUP (NPI 1336101112) is a healthcare organization registered as a pediatrics in San Juan, Puerto Rico and active in the NPI registry since April 2006. The organization lists Marco Antonio Perez-davila, Senior Partner, as its authorized official.

NPPES Registry Identity

NPI1336101112

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameROOSEVELT PEDIATRIC GROUP

Location Address576 CALLE CESAR GONZALEZ, SUITE 404San Juan, PR 00918-3756

Mailing Address576 Calle Cesar Gonzalez, Suite 404San Juan, PR 00918-3756 · (787) 753-1097 · Fax (787) 764-3927

Phone(787) 753-1097

Fax(787) 764-3927

Organization SubpartNo

Authorized OfficialMarco Antonio Perez-davilaSenior Partner · (787) 753-1097

Enumeration DateApril 5, 2006

Last NPPES UpdateOctober 14, 2008

✔ NPI 1336101112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

576 CALLE CESAR GONZALEZ, San Juan, PR 00918

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR IRIZARRY PHD

Psychologist

576 CALLE CESAR GONZALEZ, DORAL BANK CENTER - SUITE 303
SAN JUAN, PR 00918

San Juan Municipio (787) 250-7280

DR. NABAL JOSE BRACERO M.D.

Obstetrics & Gynecology (Reproductive Endocrinology)

576 CALLE CESAR GONZALEZ, SUITE 505
SAN JUAN, PR 00918

San Juan Municipio (787) 767-2220

JOSE L. PEREZ MALDONADO MD

Orthopaedic Surgery (Foot and Ankle Surgery)

576 CALLE CESAR GONZALEZ, SUITE 508
SAN JUAN, PR 00918

San Juan Municipio (787) 766-7070

DR VICTOR IRIZARRY & ASSOCIATES

Psychologist

576 CALLE CESAR GONZALEZ, SUITE 303
SAN JUAN, PR 00918

San Juan Municipio (787) 250-7280

GERARDO ERNESTO PEREZ-ROMAN M.D.

Orthopaedic Surgery

576 CALLE CESAR GONZALEZ, DORAL BANK CENTER SUITE 402
SAN JUAN, PR 00918

San Juan Municipio (787) 767-5085

GPR ORTHOPEDICS PSC

Orthopaedic Surgery

576 CALLE CESAR GONZALEZ, SUITE 402
SAN JUAN, PR 00918

San Juan Municipio (787) 767-5085

DR. RENE A DIETRICH TRIGO DMD

Dentist (General Practice)

576 CALLE CESAR GONZALEZ
SAN JUAN, PR 00918

San Juan Municipio (787) 282-0709

HILDA M MENDEZ DMD

Dentist (Pediatric Dentistry)

576 CALLE CESAR GONZALEZ, STE 307
SAN JUAN, PR 00918

San Juan Municipio (787) 753-1405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelt Pediatric Group's NPI number?

The NPI number for Roosevelt Pediatric Group is 1336101112. It was assigned to this organization in the NPPES registry on April 5, 2006.

Where is Roosevelt Pediatric Group located?

Roosevelt Pediatric Group is located at 576 Calle Cesar Gonzalez Suite 404, San Juan, PR 00918. The listed phone number is (787) 753-1097.

What is Roosevelt Pediatric Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Roosevelt Pediatric Group was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.