Individual
JORGE A BUSTILLO CANCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
J66 CALLE COLMENAR, VILLA ANDALUCIA, SAN JUAN, PR 00926-2524
(787) 430-5471
Mailing address
J66 CALLE COLMENAR, VILLA ANDALUCIA, SAN JUAN, PR 00926-2524
(787) 430-5471
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16909
PR
Other
Enumeration date
09/24/2007
Last updated
04/06/2017
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