Individual
JORGE LUIS MARIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
PO BOX 2175, COAMO, PR 00769-4175
(787) 903-1564
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
36316-R
PR
Other
Enumeration date
11/20/2019
Last updated
04/02/2024
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