Individual
DR. JOSE LUIS FOSSAS BLANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BAYAMON MEDICAL PLAZA, STE 108, BAYAMON, PR 00959
(787) 740-2040
(787) 288-8183
Mailing address
BAYAMON MEDICAL PLAZA, STE 108, BAYAMON, PR 00959
(787) 740-2040
(787) 288-8183
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9255
PR
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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