# JASAES MEDICAL DIAGNOSTIC

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

## Provider details

- **NPI number:** 1851415574
- **Authorized official:** MRS. SANDRA MARIA CABALLERO (PRESIDENT)
- **Authorized official phone:** (787) 261-0730

## Contact information

- **Practice address:** AVE DOS PALMAS 2759, TOA BAJA, PR 00949
- **Practice address phone:** (787) 261-0730
- **Mailing address:** PMB STE 275, AVE RIO HONDO 90, BAYAMON, PR 00961
- **Mailing address phone:** (787) 261-0730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 140149 | PR | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020
