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Individual

JESUS ANTONIO PEREZ RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
49 CALLE BARCELO, VILLALBA, PR 00766-2205
(787) 847-0457
(787) 847-0457
Mailing address
609 AVE TITO CASTRO, SUITE 102 PMB 451, PONCE, PR 00716-0200
(787) 837-4122
(787) 837-4122

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10874
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
060943
LA CRUZ AZUL
PR
01
1206
AMERICAN HEALTH, INC.
PR
01
1662
FIRST MEDICAL
PR
01
209286
UTI
PR
01
3710874
UIA
PR
01
41055023
PROSSAM
PR
01
7310254
HUMANA
PR
01
89146PE
TRIPLE S,INC
PR
01
PE3577
PALIC
PR
Enumeration date
12/22/2006
Last updated
04/22/2025
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