Individual
JORGE FERNANDEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
AVE 65 INFANTERRIA KM 3.4, BO SABANA LLANA, SAN JUAN, PR 00924
(787) 767-7676
Mailing address
URB JOSE S QUINONES, J-6 VICENTE BULTRON, CAROLINA, PR 00985
(787) 767-7676
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
007814
PR
Other
Enumeration date
01/04/2006
Last updated
07/08/2007
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