Provider Demographics
NPI:1750785077
Name:OJAGO, JAMES M'MBUKA (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:M'MBUKA
Last Name:OJAGO
Suffix:
Gender:M
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:B-28 CALLE # 1, APT. # 3
Mailing Address - Street 2:URB. VILLA ROSA 3
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784
Mailing Address - Country:US
Mailing Address - Phone:956-408-5387
Mailing Address - Fax:
Practice Address - Street 1:B-28 CALLE # 1, APT. # 3
Practice Address - Street 2:URB. VILLA ROSA 3
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:956-408-5387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR018923208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice