Individual
ELIZABETH PENA FONSECA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
ATRIUM PARK, 17 C/ REGINA MEDINA APT. A 606, GUAYNABO, PR 00969-6030
(787) 469-8817
Mailing address
ATRIUM PARK, 17 C/ REGINA MEDINA APT. A 606, GUAYNABO, PR 00969-6030
(787) 469-8817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F12190740
PR
363LF0000X
Family Nurse Practitioner
F12190740
PR
Other
Enumeration date
01/29/2020
Last updated
01/30/2020
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