Provider Demographics
NPI:1699839902
Name:BISQUERA, JENNIFER ALMACEN (MD)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ALMACEN
Last Name:BISQUERA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:100 ASMA BOULEVARD
Mailing Address - Street 2:SUITE 385
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508
Mailing Address - Country:US
Mailing Address - Phone:337-898-2411
Mailing Address - Fax:337-898-2411
Practice Address - Street 1:100 ASMA BOULEVARD
Practice Address - Street 2:SUITE 385
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508
Practice Address - Country:US
Practice Address - Phone:337-893-3722
Practice Address - Fax:337-893-7242
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2019-01-09
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Provider Licenses
StateLicense IDTaxonomies
LAMD.15002R2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1163775Medicaid