# DR. JOSE ANGEL MAYORQUIN

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

## Provider details

- **NPI number:** 1881009884
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28875 | NE | Yes |
| 207Q00000X | Family Medicine Physician | 7173 | NE | — |

## Other

- **Enumeration date:** 06/27/2014
- **Last updated:** 07/14/2017