Jhonatan Illera is a student in an organized health care education training program in Queens Village, NY. The provider is 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. Jhonatan Illera NPI is 1225494883. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
20911 JAMAICA AVE
QUEENS VILLAGE, NY
ZIP 11428-548
Phone: (917) 563-3388
Fax: (718) 445-0951
The enumeration date for this NPI number is 1/12/2016 and was last updated on 1/14/2016.