Individual provider · Type 1 NPI

Maria De Fatima Jaquez Duran, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1093387417 Active

Practice location

1650 Grand Concourse
Bronx, NY 10457-7606

Mailing address

187 High St
West Orange, NJ 07052-6038

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093387417

Maria De Fatima Jaquez Duran, MD's National Provider Identifier is 1093387417, issued on Jul 14, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Jul 14, 2021.