Healthcare Provider Details

I. General information

NPI: 1659282937
Provider Name (Legal Business Name): MEDIPEDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RESIDENCIAS INTERMETRO OFICINA 9 CARR 177, LOS FILTROS
SAN JUAN PR
00927
US

IV. Provider business mailing address

PO BOX 368135
SAN JUAN PR
00936-9135
US

V. Phone/Fax

Practice location:
  • Phone: 787-973-8592
  • Fax:
Mailing address:
  • Phone: 787-973-8592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA CRISTINA RUEDA GONZALEZ
Title or Position: OFFICE MANAGER
Credential: MD
Phone: 787-973-8592