Provider Demographics
NPI:1952514655
Name:SCHMIDT, JORGE L (MD)
Entity Type:Individual
Prefix:DR
First Name:JORGE
Middle Name:L
Last Name:SCHMIDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:239 AVE ARTERIAL HOSTOS STE 202
Mailing Address - Street 2:CAPITAL CENTER SUR
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-1475
Mailing Address - Country:US
Mailing Address - Phone:787-620-0688
Mailing Address - Fax:787-767-8816
Practice Address - Street 1:239 AVE ARTERIAL HOSTOS STE 202
Practice Address - Street 2:CAPITAL CENTER SUR
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-1475
Practice Address - Country:US
Practice Address - Phone:787-620-0688
Practice Address - Fax:787-767-8816
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12461208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice