Individual
IRIS MINERVA DEJESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE SAN CRISTOBAL O-24, ALTURAS DE SAN PEDRO, FAJARDO, PR 00738
(787) 404-3944
Mailing address
CALLE SAN CRISTOBAL O-24, ALTURAS DE SAN PEDRO, FAJARDO, PR 00738
(787) 404-3944
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
37154
PR
Other
Enumeration date
08/08/2013
Last updated
03/03/2015
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