Doctor Name: | DR. JAMES M'MBUKA OJAGO |
NPI Number: | 1750785077 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 018923 |
Business Practice Address: | B-28 Calle # 1, Apt. # 3 Urb. Villa Rosa 3 Guayama, PR - 00784 |
Business Phone Number: | 9564085387 |
Business Fax Number: | |
Mailing Address: | B-28 Calle # 1, Apt. # 3, Urb. Villa Rosa 3 GUAYAMA |
State: | PR |
Postal Code: | 00784 |
Phone Number: | 9564085387 |
Fax Number: | |
NPI Enumeration Date: | 10/15/2014 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 018923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |