Individual
JENNIFER VARELA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 AVE PONCE DE LEON, SAN JUAN, PR 00917-5032
(787) 758-2000
Mailing address
PO BOX 112, SAINT JUST, PR 00978-0112
(787) 223-0291
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25070
PR
363AM0700X
Medical Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2019
Last updated
07/20/2026
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