Provider Demographics
NPI:1306542154
Name:MOLINA-LABORDE, JOSE JAIME (UF CCP, FP, NRP)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:JAIME
Last Name:MOLINA-LABORDE
Suffix:
Gender:M
Credentials:UF CCP, FP, NRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17-15 PASEO DE LA ALHAMBRA
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3119
Mailing Address - Country:US
Mailing Address - Phone:787-307-2747
Mailing Address - Fax:
Practice Address - Street 1:17-15 PASEO DE LA ALHAMBRA
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3119
Practice Address - Country:US
Practice Address - Phone:787-307-2747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-03
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4044-P146L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4044POtherSTATE EMS BOARD