Individual provider · Type 1 NPI

Jesse Angelica Quitalig San Juan, MD

Student in an Organized Health Care Education/Training Program · El Paso, TX

NPI number 1669047163 Active · reactivated Feb 23, 2023

Practice location

4800 Alberta Avenue, Texas Tech University Health Sciences Center, Departmen
El Paso, TX 79905-1298

Call (915) 215-5557 Map

Fax (915) 545-6442

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Case Manager/Care Coordinator 171M00000XNone 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 1669047163

Jesse Angelica Quitalig San Juan, MD's National Provider Identifier is 1669047163, issued on May 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in El Paso, TX. The record was last updated on Apr 29, 2023.