JONATHAN DOMENECH

HUMACAO, PR
NPI1912725888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: PR  24138)
Enumeration Date2024-09-30
Last Update Date2024-09-30
Business Address
JONATHAN DOMENECH
BO COTTO MABU, CARR 189 R 922 K0
HUMACAO, PR 00791
Phone number: 787-228-0175
Mailing Address
JONATHAN DOMENECH
HC 1 BOX 6216
LAS PIEDRAS, PR 00771-9718
Phone number: 787-228-0175