Individual
DR. CARLOS I. DE JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 PASEO DEL VETERANO, PONCE, PR 00716-2001
(787) 812-3030
Mailing address
PO BOX 7478, PONCE, PR 00732-7478
(787) 448-1767
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
10506
PR
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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