Individual
JOSE JOAQUIN GRAJALES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN COHN
Contact information
Practice address
241 CALLE BARBOSA, MOCA, PR 00676
(787) 641-0773
Mailing address
PO BOX 250106, AGUADILLA, PR 00604-0106
(787) 510-9165
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
22706
PR
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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