| Doctor Name: | MISS EMMA P DE JESUS |
| NPI Number: | 1396185393 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN.M.S.N.R.A.D.M. |
| License Number: | 1811 |
| Business Practice Address: | Urb Villa Tropical 25 Calle Caribe Coamo, PR - 007694384 |
| Business Phone Number: | 7872055834 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2384, COAMO |
| State: | PR |
| Postal Code: | 007694384 |
| Phone Number: | 7872055834 |
| Fax Number: | |
| NPI Enumeration Date: | 07/05/2013 |
| NPI Last Update Date: | 07/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA2000X |
| License Number: | 1811 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Administrator |
| Taxonomy Definition: | |