Provider Demographics
NPI:1447651195
Name:ROURA MONLLOR, JAIME ALEJANDRO (MD, MS)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:ALEJANDRO
Last Name:ROURA MONLLOR
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:JAIME
Other - Middle Name:ALEJANDRO
Other - Last Name:ROURA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MS
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7920 ACC BLVD STE 300
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8744
Practice Address - Country:US
Practice Address - Phone:919-908-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD89641207V00000X
PR14220-I207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR14220-IOtherMEDICAL LICENSE, TEMPORARY
PR501098020OtherMEDICAL STUDENT, 4TH YEAR @ UPR SCHOOL OF MEDICINE