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Organization

JC MEDICAL DERM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE M CUESTA CAMUNAS (PRESIDENT)
(787) 780-4300
Entity
Organization

Contact information

Practice address
725 AVE WEST MAIN STE 1100A, BAYAMON, PR 00961-4638
(787) 780-4300
Mailing address
725 AVE WEST MAIN STE 40, BAYAMON, PR 00961-4635
(787) 780-4300

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
05/07/2026
Last updated
05/07/2026
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