Organization
JEKADE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS HERNANDEZ 787-593-7644 (PRESIDENT)
(787) 593-7644
Entity
Organization
Contact information
Practice address
CALLE A.R.BARCELO #59-B, FAJARDO, PR 00738-0567
(787) 444-0567
Mailing address
P.O. BOX 968, FAJARDO, PR 00738-0968
(787) 444-0567
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0001
PR
Other
Enumeration date
12/21/2007
Last updated
12/21/2007
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