Individual
MR. ISMAEL ENRIQUE JUSINO-MCDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13 DE MARZO ST, #19, GUANICA, PR 00653-1038
(787) 821-2879
(787) 821-2879
Mailing address
PO BOX 1038, 13 DE MARZO ST #19, GUANICA, PR 00653-1038
(787) 821-2879
(787) 821-2879
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5960
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27214
SSS
—
Enumeration date
08/04/2006
Last updated
07/08/2007
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