Individual
DR. LIGIA NOEMI JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 CARR KM1.6, CAMINO LAS LOMAS, SAN JUAN, PR 00926-9767
(787) 760-0222
Mailing address
PO BOX 360657, SAN JUAN, PR 00936-0657
(787) 502-8465
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10073
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10073
PHYSICIAN LICENSE
PR
Enumeration date
05/14/2007
Last updated
07/08/2007
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