Individual
DR. SHIRLEY JAIME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ROAD 149 KM 12.3, CIALES, PR 00638-1427
(787) 871-0601
(787) 871-3960
Mailing address
URB ONEILL, CALLC C K-2, MANATI, PR 00674
(787) 854-1356
(787) 871-3960
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11364
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84525
MEDICAL SERVICE
PR
Enumeration date
03/09/2006
Last updated
08/12/2008
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