Provider Demographics
NPI:1972587558
Name:IGUINA, JOSE G (MD)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:G
Last Name:IGUINA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:C A HAMBRA 4
Mailing Address - Street 2:#9 URB TORRIMAR
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-783-0144
Mailing Address - Fax:787-785-5543
Practice Address - Street 1:C MARGINAL SANTA CRUZ
Practice Address - Street 2:D-2 URB SANTA CRUZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00958
Practice Address - Country:US
Practice Address - Phone:787-785-5542
Practice Address - Fax:787-785-5543
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-06
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PR10574208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics