Organization
MADELINE FERNANDEZ GONZALEZ CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADELINE FERNANDEZ M.D (PRESIDENT)
(787) 843-0003
Entity
Organization
Contact information
Practice address
EDIF A PORRATA PILA, 2431 BLVD LUIS A FERRE STE 311, PONCE, PR 00717-2116
(787) 843-0003
(787) 841-1086
Mailing address
EDIF A PORRATA PILA, 2431 BLVD LUIS A FERRE STE 311, PONCE, PR 00717-2116
(787) 843-0003
(787) 841-1086
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11858
PR
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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