| Doctor Name: | DR. JORGE CEDENO ESPAILLAT |
| NPI Number: | 1316171168 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | 17552 |
| License Number: | 17552 |
| Business Practice Address: | 610 Ave. Comerio Final Sup Econo Levittown Toa Baja, PR - 009490000 |
| Business Phone Number: | 7877842218 |
| Business Fax Number: | |
| Mailing Address: | Urb Marina Bahia Me10, Plaza 20 CATANO |
| State: | PR |
| Postal Code: | 009620000 |
| Phone Number: | 7877842218 |
| Fax Number: | |
| NPI Enumeration Date: | 05/07/2009 |
| NPI Last Update Date: | 05/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17552 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |