Organization
FAJARDO MEDICAL PRACTICE
Active
Parent organization
FAJARDO MEDICAL PRACTICE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAJARDO MEDICAL PRACTICE
Authorized official
DR. AGAPITO FONTANEZ NIEVES M.D. (PRESIDENTE)
(787) 863-7646
Entity
Organization
Contact information
Practice address
I23 CALLE PRINCIPAL, URB BARALT, FAJARDO, PR 00738-3772
(787) 863-7646
(787) 860-7357
Mailing address
PO BOX 827, FAJARDO, PR 00738-0827
(787) 863-7646
(787) 860-7357
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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