Individual
FABIAN ANDRES VIDARTE QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CARRETERA 3 KM. 8.3 AVE 65 DE INFANTERIA, CAROLINA, PR 00984
(787) 757-1800
Mailing address
2216 CALLE IGUALDAD, PONCE, PR 00717-2316
(787) 702-4231
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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