Provider Demographics
NPI:1831277995
Name:MARIN, JESUS M (MD)
Entity type:Individual
Prefix:DR
First Name:JESUS
Middle Name:M
Last Name:MARIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 363589
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-3589
Mailing Address - Country:US
Mailing Address - Phone:787-448-5763
Mailing Address - Fax:787-787-8484
Practice Address - Street 1:AVENIDA LAUREL #100 SANTA JUANITA
Practice Address - Street 2:UNIVERSITY HOSPITAL DR. RAMON RUIZ ARNAU
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:787-787-8484
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2010-05-05
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Provider Licenses
StateLicense IDTaxonomies
PR7996207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE-79209Medicare UPIN