Individual
JUAN CARLOS CONDE SAN MIGUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2225 PONCE BYPASS SUITE 407, HOSPITAL DAMAS, PONCE, PR 00717-1318
(787) 840-8686
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58887
TN
207R00000X
Internal Medicine Physician
MD600001828
DC
208M00000X
Hospitalist Physician
Primary
MD600001828
DC
390200000X
Student in an Organized Health Care Education/Training Program
31,659-R
PR
Other
Enumeration date
06/22/2015
Last updated
07/30/2025
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