Individual
DR. JOSE A MORA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7342 AVE AGUSTIN RAMOS CALERO, ISABELA, PR 00662-3466
(787) 872-7095
(787) 872-7095
Mailing address
PO BOX 1492, HATILLO, PR 00659-1492
(787) 872-7095
(787) 872-7095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11931
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1849
PMC
—
01
—
89563MO
SSS
—
Enumeration date
11/30/2006
Last updated
09/26/2012
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