| Doctor Name: | JAIME SPEULVEDA |
| NPI Number: | 1598979684 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 7850 |
| Business Practice Address: | 410 Hostos Ave Suite 6 Mayaguez, PR - 006821522 |
| Business Phone Number: | 7878342115 |
| Business Fax Number: | 7878314495 |
| Mailing Address: | 104 Hilda St, Lopez Urb AGUADILLA |
| State: | PR |
| Postal Code: | 00603 |
| Phone Number: | 7878918934 |
| Fax Number: | |
| NPI Enumeration Date: | 05/09/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 7850 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |