| Doctor Name: | NORBERTO L JUAN |
| NPI Number: | 1093989477 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 35040166 |
| Business Practice Address: | 3745 Grove Ave. Lorain, OH - 44055 |
| Business Phone Number: | 4402401655 |
| Business Fax Number: | 4402330194 |
| Mailing Address: | 11009 Detroit Ave, CLEVELAND |
| State: | OH |
| Postal Code: | 441022412 |
| Phone Number: | 2162281729 |
| Fax Number: | 2162281740 |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 35040166 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |