Individual
JONATHAN OLIVERA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE DESVIO VICTOR CRUZ #6, JUANA DIAZ, PR 00795
(787) 837-2265
Mailing address
HC 03 BOX 15234, JUANA DIAZ, PR 00795
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21658
PR
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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