Individual
DR. LUIS A FRAGUADA-VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
B28 CALLE CORAZON, VILLA CRIOLLOS, CAGUAS, PR 00725-4037
(787) 745-2130
(787) 745-2130
Mailing address
PO BOX 363861, SAN JUAN, PR 00936-3861
(787) 745-2130
(787) 745-2130
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2763
PR
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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