Organization
JERRDAM MEDICAL, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE A RUIZ ROMAN (PRESIDENTE)
(787) 775-2545
Entity
Organization
Contact information
Practice address
CALLE 21 U 3#5, LAS LOMAS, RIO PIEDRAS, PR 00921
(787) 775-2545
Mailing address
PMB 409 PO BOX 194000, SAN JUAN, PR 00919-4000
(787) 775-2545
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/13/2006
Last updated
08/22/2020
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