Provider Demographics
NPI:1972394179
Name:NARVAEZ CORDERO, KERVING JAEL (MD)
Entity type:Individual
Prefix:
First Name:KERVING
Middle Name:JAEL
Last Name:NARVAEZ CORDERO
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:COND. QUINTA REAL 9102
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-988-0781
Mailing Address - Fax:
Practice Address - Street 1:AUXILIO MUTUO HOSPITAL
Practice Address - Street 2:715 AVE PONCE DE LEON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-758-2000
Practice Address - Fax:787-988-0781
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17322-I390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program