Individual
JOSE R TAVAREZ BORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 AVE WINSTON CHURCHILL, EDIF EL SENORIAL, OFICINA 310, RIO PIEDRAS, PR 00926-6064
(787) 274-2862
(787) 274-2862
Mailing address
355 CALLE CITADEL, REPARTO UNIVERSITARIO, SAN JUAN, PR 00926-1824
(787) 767-1593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14299
PR
Other
Enumeration date
06/14/2006
Last updated
02/21/2011
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