# CORPORACION FONDO SEGURO ESTADO AGUADILLA

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

## Provider details

- **NPI number:** 1689106932
- **Authorized official:** JUAN FRANCISCO HERNANDEZ M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (787) 891-0805

## Contact information

- **Practice address:** CARR 2 KM 126.4, BO CAIMITAL BAJO, AGUADILLA, PR 00603
- **Practice address phone:** (787) 891-0805
- **Practice address fax:** (787) 882-4605
- **Mailing address:** PO BOX 336, AGUADILLA, PR 00605-0336
- **Mailing address phone:** (787) 891-0805
- **Mailing address fax:** (787) 882-4605

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | 8543 | PR | Yes |

## Other

- **Enumeration date:** 03/28/2017
- **Last updated:** 03/28/2017