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NPI Code Detail

MEDICARE: DR. JEANNETTE LUBE M.D.

MEDICARE:  DR. JEANNETTE  LUBE  M.D.
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
1208000000XPediatrics Physician6459PR

General Provider Information

NPI Number : 1841269941
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEANNETTE LUBE M.D.
Provider Business Mailing Address
First Line : 590 CALLE VERONA
Second Line : VILLA CAPRI
City : SAN JUAN
State : PR
Zip : 00924-4051
Country : US
Telephone Number : 787-757-1800
Fax Number : 787-977-1709
Provider Business Practice Location Address
First Line : 65TH INFANTRY AVE.
Second Line : KM.3 HCT.8.3
City : CAROLINA
State : PR
Zip : 00984-6021
Country : US
Telephone Number : 787-757-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEANNETTE LUBE M.D.” Practice Location

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