Provider Demographics
NPI:1851336440
Name:KRAEMER, JAN J (MD)
Entity Type:Individual
Prefix:DR
First Name:JAN
Middle Name:J
Last Name:KRAEMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 CALLE JUAN C BORBON STE 67-333
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5374
Mailing Address - Country:US
Mailing Address - Phone:787-239-9377
Mailing Address - Fax:888-664-2337
Practice Address - Street 1:311 AVE DOMENECH
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-3511
Practice Address - Country:US
Practice Address - Phone:787-675-0050
Practice Address - Fax:888-664-2337
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2010-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227383207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology