# JUAN PAOLO BORJA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134359854
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO3047 | NV | Yes |
| 207Q00000X | Family Medicine Physician | OS 10650 | FL | — |

## Other

- **Enumeration date:** 07/15/2009
- **Last updated:** 09/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1134359854 | — | NV |
| 01 | — | 1907 | QUALITY HEALTH PLANS-49TH STREET OFFICE | FL |
| 01 | — | 1908 | QUALITY HEALTH PLANS-LARGO OFFICE | FL |
| 01 | — | 1909 | QUALITY HEALTH PLANS-PASADENA OFFIE | FL |
| 01 | — | 201266825 | TRICARE-ALL LOCATIONS | FL |
| 01 | — | DO3047 | STATE LICENSE | NV |
| 01 | — | P112544 | FREEDOM HEALTH | FL |