Organization
JUAN JOSE BAYRON JUSTINIANO, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN JOSE BAYRON JUSTINIANO M.D (PRESIDENT)
(787) 783-0399
Entity
Organization
Contact information
Practice address
1791 CALLE ESTEBAN PADILLA, SANTIAGO IGLESIAS, SAN JUAN, PR 00921-4237
(787) 783-0399
(787) 793-3965
Mailing address
1791 CALLE ESTEBAN PADILLA, SANTIAGO IGLESIAS, SAN JUAN, PR 00921-4237
(787) 783-0399
(787) 793-3965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11759
MEDICAL LICENSE
PR
Enumeration date
11/05/2014
Last updated
05/10/2024
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