MEDICARE: DR. JOAQUIN NG 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	208D00000X	General Practice Physician	14380	PR

General Provider Information

NPI Number	:	1679538391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAQUIN NG MD.

Provider Business Mailing Address
First Line	:	CALLE BRISAIDA #24,URB.MUNOZ RIVERA
Second Line	:	CALLE BRISAIDA#24,URB. MUNOZ RIVERA
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	787-731-2978
Fax Number	:	787-731-2978

Provider Business Practice Location Address
First Line	:	BRISAIDA STREET#24,URB. MR
Second Line	:	BRISAIDA STREET#24,URB MR
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	787-731-2978
Fax Number	:	787-731-2978

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	02/19/2026

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