Jose Luis Porras Jr.
Student in an Organized Health Care Education/Training Program in Baltimore, MD. Individual provider (NPI-1).
NPI number1669977922
StatusActive
Last updated in NPPESMar 28, 2018
Details
- NPI
- 1669977922
- Entity type
- Individual (NPI-1)
- Name
- Jose Luis Porras Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 28, 2018
- Last updated
- Mar 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1800 Orleans St Department Of Neurosurgery, Zayed TowerMailstop 6007
Baltimore, MD 21287-0010
Phone 410-502-6099
Mailing address
1800 Orleans St Department Of Neurosurgery, Zayed TowerMailstop 6007
Baltimore, MD 21287-0010
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