# CORPORACION FONDO SEGURO ESTADO FAJARDO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CFSE FAJARDO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326586546
- **Authorized official:** IRMA SANTOS MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 793-5959

## Contact information

- **Practice address:** 460 AVE MARCELITO GOTAY, SECTOR EL BATEY, FAJARDO, PR 00738
- **Practice address phone:** (787) 793-5959
- **Practice address fax:** (787) 801-2900
- **Mailing address:** 460 AVE MARCELITO GOTAY, FAJARDO, PR 00738-1207
- **Mailing address phone:** (787) 793-5959
- **Mailing address fax:** (787) 801-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | 9607 | PR | Yes |

## Other

- **Enumeration date:** 02/08/2017
- **Last updated:** 02/08/2017