JOSE LUIS FENEQUE

SAN JUAN, PR
NPI1093215139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: PR  6163844)
Enumeration Date2018-02-15
Last Update Date2018-02-15
Business Address
Mr. JOSE LUIS FENEQUE
1156 CALLE 62 SE
SAN JUAN, PR 00921-2724
Phone number: 787-758-2525
Mailing Address
Mr. JOSE LUIS FENEQUE
RR 2 BOX 2847
ANASCO, PR 00610-9416
Phone number: 787-236-0264