Individual
DR. ANTONIO J JELU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ROAD 149 KM 12.3, CIALES, PR 00638
(787) 871-0601
(787) 871-3960
Mailing address
PO BOX 1427, CIALES, PR 00638-1427
(787) 871-0601
(787) 871-3960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3980
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84488
MEDICAL SERVICE
PR
Enumeration date
03/14/2006
Last updated
07/08/2007
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