Provider Demographics
NPI:1497090278
Name:JESUS E PIJEM GARCIA
Entity Type:Organization
Organization Name:JESUS E PIJEM GARCIA
Other - Org Name:CONSULTORIO DOCTOR PIJEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JESUS
Authorized Official - Middle Name:E
Authorized Official - Last Name:PIJEM-GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-241-6897
Mailing Address - Street 1:PO BOX 360071
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0071
Mailing Address - Country:US
Mailing Address - Phone:787-241-6897
Mailing Address - Fax:787-758-1000
Practice Address - Street 1:554 CALLE CABO ALVERIO
Practice Address - Street 2:URB LA MERCED
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3724
Practice Address - Country:US
Practice Address - Phone:787-241-6897
Practice Address - Fax:787-758-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3564207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty