Doctor Name: | DR. IGNACIO JAVIER JACA MONTIJO |
NPI Number: | 1477650893 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 13094 |
Business Practice Address: | Metro Medical Center Suite 903b Bayamon, PR - 00959 |
Business Phone Number: | 7873957500 |
Business Fax Number: | 7878697539 |
Mailing Address: | 1995 Carr. # 2 Suite 2903, BAYAMON |
State: | PR |
Postal Code: | 00959 |
Phone Number: | 7873957500 |
Fax Number: | 7873957501 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 11/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 13094 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |