MEDICARE: DR. JORGE BERTRAN PASARELL MD

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	207RI0200X	Infectious Disease Physician	11571	PR

General Provider Information

NPI Number	:	1578560702
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JORGE BERTRAN PASARELL MD

Provider Business Mailing Address
First Line	:	PMB 343 35 J.C.BORBON 67
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5375
Country	:	US
Telephone Number	:	787-789-1923
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE. PONCE DE LEON STOP 37 1/2
Second Line	:	AUXILIO MUTUO HOSPITAL
City	:	HATO REY
State	:	PR
Zip	:	00917
Country	:	US
Telephone Number	:	787-758-2000
Fax Number	:

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	07/09/2007

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