Individual
DR. JOSE D ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
126 AVE LAS NEREIDAS, CATANO, PR 00962-4418
(787) 788-0448
Mailing address
10116 S SHARTEL AVE, OKLAHOMA CITY, OK 73139-5421
(405) 703-1747
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18425
PR
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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