Individual
REBECCA FANTAUZZI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
431 AVE HOSTOS, SAN JUAN, PR 00918-3014
(787) 753-9515
(787) 753-8327
Mailing address
URB. EL PILAR 1839 SANJOAQUIN, SAN JUAN, PR 00926
(787) 765-5333
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15261
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15261
BOARD OF MEDICINE
PR
Enumeration date
06/13/2006
Last updated
07/08/2007
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