Individual
MR. JOSE ANGEL BLANCO DE JESUS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1255 TITO CASTRO AVE, PLAZA LAS MONJITAS SUITE 204, PONCE, PR 00730
(787) 844-7336
(787) 844-7336
Mailing address
2060 COLINA ST, URB VALLE ALTO, PONCE, PR 00730-4139
(787) 259-2496
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10080
PR
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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