Individual
JEFFERSON ARMANDO CRIOLLO PAUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BARRIO MONACILLOS, SAN JUAN, PR 00935-0001
(787) 777-3535
Mailing address
1091 CALLE 15, SAN JUAN, PR 00927-5319
(939) 246-7289
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
319-E
PR
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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