Individual
MARLA ESTHER JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CLINICA EPANOLA, BO. BALBOA SECTOR LA QUINTA, MAYAGUEZ, PR 00680-0000
(787) 832-0404
Mailing address
PO BOX 8010, MARINA STATION, MAYAGUEZ, PR 00681-8010
(787) 316-7963
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
017140
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033303151
TRIPLE-S
PR
Enumeration date
08/31/2007
Last updated
07/15/2021
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