JORGE VALDESUSO


Address: 200 Ave Cupey Gardens Suite 11 W, Cupey Gardens Plaza, Sanjuan, PR 00926
Phone: 7877604425

JORGE VALDESUSO (NPI# 1801830427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801830427
Entity Type Individual
Full Name JORGE VALDESUSO
Credential MD
Practice Address 200 Ave Cupey Gardens Suite 11 W
Cupey Gardens Plaza
Sanjuan
PR 00926
Mailing Address Arboles De Montehiedra
Blvd 600 Box 342
San Juan
PR 00926
Practice Telephone 7877604425
Practice Fax Number 7877484036
Mailing Telephone 7877604425
Mailing Fax Number 7877484036
Enumeration Date 2006-06-15
Last Update Date 2015-06-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 11470 PR Allopathic & Osteopathic Physicians

Office Location

Street Address 200 AVE CUPEY GARDENS SUITE 11 W
CUPEY GARDENS PLAZA
City SANJUAN
State PR
Zip Code 00926

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1831708437 Gymar M Vargas Student in an Organized Health Care Education/Training Program Urb La Utt, Calle Juan D Lefebres #10, San Juan, PR 00926 2020-07-29
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City SANJUAN
Zip Code 00926

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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