# JAG MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265025225
- **Authorized official:** JOSE G AYALA MD (DOCTOR)
- **Authorized official phone:** (787) 226-8490

## Contact information

- **Practice address:** 364 SAN JORGE ST, COND LAS CARMELITAS, APT 3E, SAN JUAN, PR 00912-0091
- **Practice address phone:** (787) 226-8490
- **Mailing address:** 364 CALLE SAN JORGE , COND LAS CARMELITAS, APT 3E, SAN JUAN, PR 00912
- **Mailing address phone:** (787) 226-8490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/19/2021
- **Last updated:** 02/19/2021