Individual
DR. JOSE MIGUEL DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, OD
Contact information
Practice address
1341 CALLE ALDEA APT TH1, SAN JUAN, PR 00907-2320
(787) 905-3772
Mailing address
273 SIERRA MORENA, 181 PB LA CUMBRE, SAN JUAN, PR 00926-0001
(787) 905-3772
(787) 705-5838
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
194
PR
207P00000X
Emergency Medicine Physician
21104
PR
208D00000X
General Practice Physician
Primary
21104
PR
Other
Enumeration date
07/21/2006
Last updated
10/25/2021
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