OrganizationActive
Roosevelt Pediatric Group
NPI 1336101112 · Pediatrics Physician · San Juan, PR
Roosevelt Pediatric Group is a Pediatrics Physician organization in San Juan, PR (NPI 1336101112).
Provider details
- NPI number
- 1336101112
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marco Perez-Davila, Senior Partner(787) 753-1097
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
576 Calle Cesar Gonzalez
Suite 404
San Juan, PR 00918-3756
Phone: (787) 753-1097
Fax: (787) 764-3927
Street-level locationGet directions
Mailing address
576 Calle Cesar Gonzalez
San Juan, PR 00918-3756
Registry dates
- Enumerated
- 2006-04-05
- Last updated
- 2008-10-14
Frequently asked questions
- What is Roosevelt Pediatric Group's NPI number?
- Roosevelt Pediatric Group's National Provider Identifier (NPI) is 1336101112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Roosevelt Pediatric Group?
- Roosevelt Pediatric Group is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Roosevelt Pediatric Group located?
- Roosevelt Pediatric Group's practice location on file with NPPES is 576 Calle Cesar Gonzalez, San Juan, PR 00918-3756.
- What is Roosevelt Pediatric Group's phone number?
- The practice phone number listed in the NPPES registry for Roosevelt Pediatric Group is (787) 753-1097.
- Who is the authorized official for Roosevelt Pediatric Group?
- The authorized official listed on Roosevelt Pediatric Group's NPPES record is Marco Perez-Davila, Senior Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Roosevelt Pediatric Group's NPI active?
- Yes — Roosevelt Pediatric Group's NPI (1336101112) is active in the NPPES registry as of the last update on 2008-10-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.