Individual
PROF. JESUS VEGA MALDONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
02549 MSN
Contact information
Practice address
CONSOLIDATED MALL B5, AVE. GAUTIER BENITEZ 202, CAGUAS, PR 00725
(787) 704-0705
Mailing address
BO BELGICA CALLE CAMPOS #2210, PONCE, PR 00717
(787) 627-6297
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
2549
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2549
NURSE
PR
Enumeration date
08/17/2018
Last updated
08/17/2018
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