Organization
JOSE N. MORENO, M.D., C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE N MORENO TORRES M.D. (PRESIDENT)
(305) 710-4484
Entity
Organization
Contact information
Practice address
1 CALLE SANTA CRUZ, OFICINA 605,, TORRE SAN PABLO, PR 00961-7035
(305) 710-4484
Mailing address
1 CALLE SANTA CRUZ, OFICINA 605,, TORRE SAN PABLO, PR 00961-7035
(787) 758-1621
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003254
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07441S
MEDICARE PTAN 07441S
—
Enumeration date
08/27/2014
Last updated
04/13/2015
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