Balestra, Jesus Manuel

Balestra, Jesus Manuel is an individual health care provider with primary practice located at 100 Ave Laurel Urb Santa Juanita, Bayamon PR 00956-4816. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Balestra, Jesus Manuel can be contacted via phone (787) 786-6165.

Contact Information

Primary practice address
100 Ave Laurel Urb Santa Juanita Bayamon PR 00956-4816
Phone: (787) 786-6165
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5014 Puerto Rico

Profile Details

NPI number 1518180629
LBN Legal business name Balestra, Jesus Manuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518180629 NPPES
Puerto Rico Other 5014 LICENSE NUMBER

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