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Individual

DR. ROBERTO D FERNANDEZ MCCLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
735 AVE PONCE DE LEON, SAN JUAN, PR 00917-5022
(787) 758-2000
Mailing address
3A14 CALLE ASTURIAS, VILLA DEL REY 3, CAGUAS, PR 00727-7015
(787) 758-2000

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13459I
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13459I
MEDICAL STATE LICENSE
PR
Enumeration date
07/17/2014
Last updated
11/21/2018
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