Organization
JASAES MEDICAL DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA MARIA CABALLERO (PRESIDENT)
(787) 261-0730
Entity
Organization
Contact information
Practice address
AVE DOS PALMAS 2759, TOA BAJA, PR 00949
(787) 261-0730
Mailing address
PMB STE 275, AVE RIO HONDO 90, BAYAMON, PR 00961
(787) 261-0730
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
140149
PR
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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