Provider Demographics
NPI:1609350883
Name:J&D LLC
Entity Type:Organization
Organization Name:J&D LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTENER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CUELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-309-9561
Mailing Address - Street 1:32 PARQUE LA ARBOLEDA
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-891-1132
Mailing Address - Fax:
Practice Address - Street 1:176 AVE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-891-1132
Practice Address - Fax:787-819-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care