Provider Demographics
NPI:1306097407
Name:RS PEDIATRICS, LLC
Entity type:Organization
Organization Name:RS PEDIATRICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SAN JORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-273-0026
Mailing Address - Street 1:PO BOX 833416
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33283-3416
Mailing Address - Country:US
Mailing Address - Phone:305-273-0026
Mailing Address - Fax:305-273-0388
Practice Address - Street 1:8940 N KENDALL DR
Practice Address - Street 2:SUITE 603E
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2148
Practice Address - Country:US
Practice Address - Phone:305-273-0026
Practice Address - Fax:305-273-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME00751802080P0203X
FLME565162080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious DiseasesGroup - Multi-Specialty
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care MedicineGroup - Multi-Specialty