Provider Demographics
NPI:1497905160
Name:FREYTES, JOSE M
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:M
Last Name:FREYTES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:S21 CALLE R MENENDEZ PIDAL
Mailing Address - Street 2:URB EL SENORIAL
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6921
Mailing Address - Country:US
Mailing Address - Phone:787-307-1600
Mailing Address - Fax:501-637-7818
Practice Address - Street 1:S21 CALLE R MENENDEZ PIDAL
Practice Address - Street 2:URB EL SENORIAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6921
Practice Address - Country:US
Practice Address - Phone:787-307-1600
Practice Address - Fax:501-637-7818
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor