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Organization
INSTITUTO DE NEUROLOGIA DRA. IVONNE FRAGA, PSC
Active
Organization
INSTITUTO DE NEUROLOGIA DRA. IVONNE FRAGA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVONNE DE LOURDES FRAGA M.D. (PRESIDENT)
(787) 403-5534
Entity
Organization
Contact information
Practice address
708 AVE PONCE DE LEON, SUITE 102, SAN JUAN, PR 00918-4502
(787) 763-9312
(787) 294-1246
Mailing address
PO BOX 7891, PMB 191, GUAYNABO, PR 00970-7891
(787) 403-5534
(787) 294-1246
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13162
PR
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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