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Contact Information

JOG OTOLARYNGOLOGY SERVICES CSP
29 WASHINGTON SUITE 105
ASHFORD MEDICAL CENTER
SAN JUAN, PR00907
 Phone: 787-725-5628
 Fax: 787-722-0513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JOG OTOLARYNGOLOGY SERVICES CSP · (Female)

NPI Number 1104910793
Status Active
Credentials
Entity Individual
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • PR License # 12317
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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