Doctor Name: | JULIO C DE JESUS |
NPI Number: | 1447216841 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11995 |
Business Practice Address: | B2 Calle Lope Flores Caguas, PR - 007252652 |
Business Phone Number: | 7877450708 |
Business Fax Number: | 7877450708 |
Mailing Address: | Po Box 1388, CAGUAS |
State: | PR |
Postal Code: | 007261388 |
Phone Number: | 7877450708 |
Fax Number: | 7877450708 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11995 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |