Individual
DR. JOSE R OVALLES JAQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE PADRE LAS CASAS #107 URBANIZACION EL VEDADO, SAN JUAN, PR 00918
(787) 767-8758
(844) 759-2966
Mailing address
PO BOX 70344, SAN JUAN, PR 00936-8344
(787) 692-4080
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
007219
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37848501
—
PR
Enumeration date
04/30/2007
Last updated
09/20/2022
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