Organization
FERSAL PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A FERNANDEZ CHAVEZ MD (DIRECTOR)
(787) 383-5859
Entity
Organization
Contact information
Practice address
AVENIDA FONT MARTELO HOSPITAL HIMA HUMACAO, NUM 3, HUMACAO, PR 00792-0000
(787) 656-2424
(787) 961-4524
Mailing address
CONDOMINIO SAN FRANCISCO JAVIER 50 CALLE SAN JOSE, APT 502, GUAYNABO, PR 00969-0000
(787) 383-5859
(787) 961-4524
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
15819
PR
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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