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Organization
FAJARDO MEDICAL PRACTICE
Active
Organization
FAJARDO MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGAPITO FONTANEZ NIEVES (PRESIDENT)
(787) 863-7646
Entity
Organization
Contact information
Practice address
I23 CALLE PRINCIPAL, URB. BARALT, FAJARDO, PR 00738-3772
(787) 863-7646
(787) 860-7357
Mailing address
PO BOX 827, FAJARDO, PR 00738-0827
(787) 863-7646
(787) 860-7357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PR
208000000X
Pediatrics Physician
—
PR
208D00000X
General Practice Physician
—
PR
Other
Enumeration date
03/22/2007
Last updated
09/11/2025
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