Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jorge Enrique Perdomo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164125126

Jorge Enrique Perdomo is a Student in an Organized Health Care Education/Training Program in Portsmouth, Virginia. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone: (786) 556-7128
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164125126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2023
Last updated in NPPESMay 21, 2023
Certification dateMay 21, 2023

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