Individual
DR. JOSE JESUS LARRAURI RENTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CALLE MARIO BRASCHI, COAMO, PR 00769-2501
(787) 825-1224
(787) 825-0763
Mailing address
PO BOX 1883, COAMO, PR 00769-1883
(787) 825-1224
(787) 825-0763
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7382
PR
Other
Enumeration date
08/15/2006
Last updated
10/01/2012
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