Individual
DR. JOSE L QUILICHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1629 SANTA EDUVIGIS, URB. SAGRADO CORAZON, SAN JUAN, PR 00926
(787) 383-6162
(787) 434-6214
Mailing address
8340 NW 115TH CT, DORAL, FL 33178-1958
(787) 383-6161
(305) 884-7719
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
8778
PR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME108127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FK604A
MEDICARE
PR
Enumeration date
08/16/2006
Last updated
03/24/2015
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