FAJARDO MEDICAL PRACTICE NPI 1134319320

NPI Information

FAJARDO MEDICAL PRACTICE is a general practice in Fajardo, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FAJARDO MEDICAL PRACTICE NPI is 1134319320. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

I23 CALLE PRINCIPAL
URB BARALT
FAJARDO, PR
ZIP 00738-772
Phone: (787) 863-7646
Fax: (787) 860-7357

The provider's authorized official is Agapito Fontanez Nieves .
The authorized official title is Presidente and has the following contact phone number (787) 863-7646.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 7/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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