Dr. Angel B. Amadeo De Jesus, MD
General Practice in Aibonito, PR. Individual provider (NPI-1).
NPI number1033868898
StatusActive
Last updated in NPPESJun 26, 2022
Details
- NPI
- 1033868898
- Entity type
- Individual (NPI-1)
- Name
- Dr. Angel B. Amadeo De Jesus
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 21, 2022
- Certification date
- Jun 26, 2022
- Last updated
- Jun 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 022821 | PR | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
Villa Rosales G 15Aibonito, PR 00705
Phone 939-478-6588
Mailing address
Villa Rosales G 15Aibonito, PR 00705
Phone 787-310-2390
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