Jorge, Leisa

Jorge, Leisa is an sole proprietor health care provider with primary practice located at Calle Vista Mar 607 Urb Coco Beach , Rio Grande PUERTO RICO 00745. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Jorge, Leisa can be contacted via phone (787) 549-1049.

Contact Information

Primary practice address
Calle Vista Mar 607 Urb Coco Beach Rio Grande PUERTO RICO 00745
Phone: (787) 549-1049
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 36899 Puerto Rico

Profile Details

NPI number 1043692346
LBN Legal business name Jorge, Leisa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2015
Last updated Jun 23rd, 2015 - about 11 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 1043692346 NPPES
Puerto Rico MEDICAID 4809461

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