Individual
MR. PEDRO DE JESUS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
STREET 8 URB.VILLA SAURI, M-16, CAGUAS, PR 00725
(787) 531-9518
Mailing address
MCS 1344 HC-4, BOX 44374, CAGUAS, PR 00727-9606
(787) 531-9518
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
1065
PR
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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