MEDICARE: DR. JAN J KRAEMER 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
1	207L00000X	Anesthesiology Physician	227383	MA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	227383	MA

General Provider Information

NPI Number	:	1851336440
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAN J KRAEMER M.D.

Provider Business Mailing Address
First Line	:	35 CALLE JUAN C BORBON STE 67-333
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969-5374
Country	:	US
Telephone Number	:	787-239-9377
Fax Number	:	888-664-2337

Provider Business Practice Location Address
First Line	:	311 AVE DOMENECH
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-3511
Country	:	US
Telephone Number	:	787-675-0050
Fax Number	:	888-664-2337

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	09/30/2010

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