Provider Demographics
NPI:1477583144
Name:CASAL, JESUS R (MD)
Entity Type:Individual
Prefix:DR
First Name:JESUS
Middle Name:R
Last Name:CASAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:B-30 POPPY S.T.
Mailing Address - Street 2:PARQUE FORESTAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-287-7034
Mailing Address - Fax:787-641-7582
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-9541
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2024-03-18
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Provider Licenses
StateLicense IDTaxonomies
PR12459207RC0200X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine