Provider Demographics
NPI:1558652602
Name:OJEDA, JOAN ARLENE (MD)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:ARLENE
Last Name:OJEDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-0486
Mailing Address - Country:US
Mailing Address - Phone:787-868-5742
Mailing Address - Fax:
Practice Address - Street 1:26 CALLE EXT SAN JOSE
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3116
Practice Address - Country:US
Practice Address - Phone:787-868-5742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27898207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine