# DR. JORGE LUIS VENDRELL SR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407422199
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 22556 | PR | — |
| 207Q00000X | Family Medicine Physician | 56760 | IA | Yes |
| 208D00000X | General Practice Physician | 22556 | PR | Yes |
| 261QE0002X | Emergency Care Clinic/Center | 22556 | PR | — |

## Other

- **Enumeration date:** 06/02/2021
- **Last updated:** 08/28/2026