Individual
DR. JORGE LUIS VENDRELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BO. FELICIA 2 CARR. PR 153 ESQ. PR 52, SANTA ISABEL, PR 00757
(787) 845-5050
Mailing address
PO BOX 3386, GUAYAMA, PR 00785-3386
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
22556
PR
208D00000X
General Practice Physician
Primary
22556
PR
261QE0002X
Emergency Care Clinic/Center
22556
PR
Other
Enumeration date
06/02/2021
Last updated
10/14/2021
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