Doctor Name: | DR. ASHLEY JESUS GARCIA-JORGE |
NPI Number: | 1417963802 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 14355 |
Business Practice Address: | 1575 Ave Munoz Rivera Pmb 316 Ponce, PR - 007170211 |
Business Phone Number: | 7878442030 |
Business Fax Number: | 7878442030 |
Mailing Address: | 1575 Ave Munoz Rivera, Pmb 316 PONCE |
State: | PR |
Postal Code: | 007170211 |
Phone Number: | 7878442030 |
Fax Number: | 7878442030 |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14355 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |