Organization
DR FARES CID MANSUR, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARES A CID M.D. (PRESIDENT)
(787) 812-1210
Entity
Organization
Contact information
Practice address
EDIF MICHELLE PLAZA, STE106 CALLE ACASIA, PONCE, PR 00716
(787) 812-1210
(787) 812-1211
Mailing address
PMB 383 609, AVE TITO CASTRO STE 102, PONCE, PR 00716
(787) 812-1210
(787) 812-1211
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10164
PR
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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