Myrna Enith Dejesus in Guaynabo - General Practice
Myrna Enith Dejesus - NPI 1639186547
Myrna Enith Dejesus is a General Practice in Guaynabo, Puerto Rico. Myrna Enith Dejesus practices all healthcare services and medical treatments related to General Practice. The NPI Number for Myrna Enith Dejesus is 1639186547. The last update date is 2012-10-11.
Myrna Enith Dejesus's current location address is Po Box 304, Guaynabo, Puerto Rico. You can contact this provider via phone number 7877464610 and fax number 7877454030. The mailing address for Myrna Enith Dejesus is Po Box 304, Guaynabo, Puerto Rico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Myrna Enith Dejesus |
|---|---|
| Address | Po Box 304, Guaynabo, Puerto Rico |
| Phone Number | 7877464610 |
| Fax Number | 7877454030 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639186547 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2012-10-11 |
Provider Mailing Address Detail
| Address | Po Box 304 |
|---|---|
| City | Guaynabo |
| State | Puerto Rico (PR) |
| Post Code | 9700304 |
| Phone Number | 7877464610 |
| Fax Number | 7877454030 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 8868 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8868 | PR | PR LICENSE |
Post Comment/ Review Below
What is the Myrna Enith Dejesus's unique identification number?
The Myrna Enith Dejesus has been assigned the NPI (National Provider Identifier) Number 1639186547 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Myrna Enith Dejesus?
The Myrna Enith Dejesus is situated at Po Box 304, in the city of Guaynabo, state of PR, with the zip code 9700304.
What is Myrna Enith Dejesus's area of expertise and its corresponding taxonomy classification?
The Myrna Enith Dejesus's field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639186547 to Myrna Enith Dejesus?
The Centers for Medicare & Medicaid Services originally issued the 1639186547 to Myrna Enith Dejesus on 2006-08-02.
As of what date were the details related to Myrna Enith Dejesus most recently updated or revised?
The information pertaining to Myrna Enith Dejesus, including its address, specialty, and other relevant details, was last updated or revised on 2012-10-11.