MEDICARE: JAIME ALEJANDRO ROURA MONLLOR MD, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	D89641	MD

General Provider Information

NPI Number	:	1447651195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME ALEJANDRO ROURA MONLLOR MD, MS

Provider Business Mailing Address
First Line	:	101 MANNING DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27514-4226
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7920 ACC BLVD STE 300
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8744
Country	:	US
Telephone Number	:	919-908-0000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2014
Last Update Date	:	05/02/2024

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