Individual
JORGE CARLOS CHELEUITTE SEMIDEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1395 SAN RAFAEL, SAN JUAN, PR 00910-3428
(787) 999-7620
Mailing address
PO BOX 1842, GUAYNABO, PR 00970
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021224
PR
Other
Enumeration date
05/11/2017
Last updated
11/06/2020
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