Organization
FAJARDO PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGAPITO FONTANEZ NIEVES MD (PHYSICIAN)
(787) 368-8282
Entity
Organization
Contact information
Practice address
13 CASTILLOS DEL MAR, CEIBA, PR 00735-3616
(787) 368-8282
(787) 655-7693
Mailing address
13 CASTILLOS DEL MAR, CEIBA, PR 00735-3616
(787) 368-8282
(787) 655-7693
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4710
PR
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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