Provider Demographics
NPI:1346356243
Name:FERRER, JOSE LUIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:LUIS
Last Name:FERRER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:CALLE M. PAVIA #611
Mailing Address - Street 2:SUITE 103
Mailing Address - City:SANTURCE
Mailing Address - State:PR
Mailing Address - Zip Code:00909
Mailing Address - Country:US
Mailing Address - Phone:787-727-3745
Mailing Address - Fax:787-726-2026
Practice Address - Street 1:PAVIA MEDICAL PLAZA, SUITE 103
Practice Address - Street 2:611 CALLE MANUEL PAVIA
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00909
Practice Address - Country:US
Practice Address - Phone:787-727-3745
Practice Address - Fax:787-726-2026
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR10750208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR310750OtherCIGNA
PR069467OtherCRUZ AZUL
PR83000FEOtherTRIPLE S
PR9090091OtherHUMANA
PR069467OtherCRUZ AZUL