Organization
JORGE CALDERON INC CP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE L CALDERON JIMENEZ (PRESIDENTE)
(787) 735-7969
Entity
Organization
Contact information
Practice address
CENTRO SALUD FAMILIAR CIDRA, HOSPITAL MENONITA, CIDRA, PR 00739
(787) 735-7969
(787) 946-7326
Mailing address
VILLA VIGIA BOX 1600 SUITE 1007, CAGUAS, PR 00725
(787) 735-7969
(787) 946-7326
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
10802
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1194850289
NPI
PR
Enumeration date
01/12/2016
Last updated
01/12/2016
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