Provider Demographics
NPI:1265415665
Name:JOVE, DENISSE (MD)
Entity type:Individual
Prefix:DR
First Name:DENISSE
Middle Name:
Last Name:JOVE
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:PASEO LOS CORALES I
Mailing Address - Street 2:547 MAR CARIBE
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:787-878-0861
Mailing Address - Fax:787-879-0148
Practice Address - Street 1:ANTONIO R. BARCELO #109
Practice Address - Street 2:SUITE 3
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-878-0861
Practice Address - Fax:787-878-0861
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13587174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1390OtherPREFERRED MEDICARE CHOISE
PR6120203OtherHUMANA HEALTH PLAN
PR100486OtherCRUZ AZUL
PRP812OtherINTERNATIONAL MEDICAL CAR
PRPE4820OtherPALIC
PR22454OtherTRIPLES S
PR601782OtherMEDICARE Y MUCHO MAS
PRP812OtherINTERNATIONAL MEDICAL CAR
PR002454Medicare ID - Type Unspecified