Individual
JORGE LUIS REYES-MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
LOPEZ SICARDO AVE. BLDG. B18 APT. 208, RES. MANUEL A. PEREZ, SAN JUAN, PR 00923
(787) 360-3531
Mailing address
LOPEZ SICARDO AVE. BLDG. B18 APT. 208, RES. MANUEL A. PEREZ, SAN JUAN, PR 00923
(787) 360-3531
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
90122
PR
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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