Doctor Name: | DR. SHIRLEY JAIME |
NPI Number: | 1568430049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 11364 |
Business Practice Address: | Road 149 Km 12.3 Ciales, PR - 006381427 |
Business Phone Number: | 7878710601 |
Business Fax Number: | 7878713960 |
Mailing Address: | Urb Oneill, Callc C K-2 MANATI |
State: | PR |
Postal Code: | 00674 |
Phone Number: | 7878541356 |
Fax Number: | 7878713960 |
NPI Enumeration Date: | 03/09/2006 |
NPI Last Update Date: | 08/12/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11364 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |