Individual
DR. RICARDO M. FONTANET GRANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
GO7 AVE CAMPO RICO, COUNTRY CLUB, CAROLINA, PR 00982-2678
(787) 633-8152
(787) 762-9110
Mailing address
GO7 AVE CAMPO RICO, COUNTRY CLUB, CAROLINA, PR 00982-2678
(787) 633-8152
(787) 762-9110
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9201
PR
208D00000X
General Practice Physician
9201
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061680
CRUZ AZUL
PR
01
—
129660590181
GLOBAL
PR
01
—
81706
SSS INSURANCE
PR
01
—
9820006
HUMANA
PR
01
—
P-1319
PALIC
PR
Enumeration date
08/18/2005
Last updated
11/10/2020
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