Healthcare Provider Details

I. General information

NPI: 1750476073
Provider Name (Legal Business Name): JEFFREY D HOEFFLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 CALLE SAN JORGE # C
SAN JUAN PR
00911-2054
US

IV. Provider business mailing address

1357 AVENIDA ASHFORD STE 2459
SAN JUAN PR
00907-1400
US

V. Phone/Fax

Practice location:
  • Phone: 310-998-7792
  • Fax:
Mailing address:
  • Phone: 310-998-7792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number024173
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: