Provider Demographics
NPI:1508064700
Name:TOUS DE JESUS, HORACIO M (MD)
Entity Type:Individual
Prefix:DR
First Name:HORACIO
Middle Name:M
Last Name:TOUS DE JESUS
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:200 AVE WINSTON CHURCHILL
Mailing Address - Street 2:SUITE 402
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6651
Mailing Address - Country:US
Mailing Address - Phone:787-766-5555
Mailing Address - Fax:
Practice Address - Street 1:200 AVE WINSTON CHURCHILL
Practice Address - Street 2:SUITE 402
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6651
Practice Address - Country:US
Practice Address - Phone:787-766-5555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR17240207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology