Provider Demographics
NPI:1922663921
Name:BOSQUES-LORENZO, JAYMILITTE (MD)
Entity type:Individual
Prefix:DR
First Name:JAYMILITTE
Middle Name:
Last Name:BOSQUES-LORENZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:JAYMILITTE
Other - Middle Name:
Other - Last Name:BOSQUES-LOREZNO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 60327
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-6032
Mailing Address - Country:US
Mailing Address - Phone:787-787-5151
Mailing Address - Fax:
Practice Address - Street 1:AVE. LAUREL #100
Practice Address - Street 2:SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23886207R00000X
PR36714207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine