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Individual

JULISSA NICOLE JACA CASTRO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
CARR NUM 2 KM 11.6, BAYAMON, PR 00960
(787) 620-8181
Mailing address
KM 11.7 PR-2 BAYAMON MEDICAL CENTER, BAYAMON, PR 00959
(787) 620-8181

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23630
PR

Other

Enumeration date
10/19/2021
Last updated
04/20/2025
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