Individual
JAIME SPEULVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 HOSTOS AVE, SUITE 6, MAYAGUEZ, PR 00682-1522
(787) 834-2115
(787) 831-4495
Mailing address
104 HILDA ST, LOPEZ URB, AGUADILLA, PR 00603
(787) 891-8934
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
7850
PR
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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