Individual
DR. JOSE LUIS FENEQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1156 CALLE 62 SE, SAN JUAN, PR 00921-2724
(787) 758-2525
Mailing address
RR 2 BOX 2847, ANASCO, PR 00610-9416
(787) 236-0264
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24376
PR
208D00000X
General Practice Physician
Primary
24376
PR
Other
Enumeration date
02/15/2018
Last updated
08/06/2026
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