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NPI Code Detail

MEDICARE: DR. ALFREDO JOSE CORRETJER M.D.

MEDICARE:  DR. ALFREDO JOSE CORRETJER  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
1208D00000XGeneral Practice Physician7973PR

General Provider Information

NPI Number : 1669668554
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALFREDO JOSE CORRETJER M.D.
Provider Business Mailing Address
First Line : 500 AVE MUNOZ RIVERA
Second Line : SUITE 240
City : SAN JUAN
State : PR
Zip : 00918-3300
Country : US
Telephone Number : 787-765-2410
Fax Number : 787-765-2410
Provider Business Practice Location Address
First Line : 500 AVE MUNOZ RIVERA
Second Line : SUITE 240
City : SAN JUAN
State : PR
Zip : 00918-3300
Country : US
Telephone Number : 787-765-2410
Fax Number : 787-765-2410
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2007
Last Update Date : 09/24/2007

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Directions to “ DR. ALFREDO JOSE CORRETJER M.D.” Practice Location

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