Doctor Name: | JAIME CAYETANO LEDESMA |
NPI Number: | 1649479189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16663 |
Business Practice Address: | 176 Calle Albizu Campos Aguadilla, PR - 006036303 |
Business Phone Number: | 9392020882 |
Business Fax Number: | |
Mailing Address: | Parque La Arboleda #32, AGUADILLA |
State: | PR |
Postal Code: | 006036303 |
Phone Number: | 9392020882 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2007 |
NPI Last Update Date: | 12/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16663 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |