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Individual

ROSEMARIE FISCHBACH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
CARR #3 KM 21 SUITE 2, MARGINAL LA DOLORES, RIO GRANDE, PR 00745
(787) 863-8440
Mailing address
PO BOX 2017, CEIBA, PR 00735
(787) 863-8440
(787) 885-8497

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1722
PR
1223G0001X
General Practice Dentistry
Primary
30973
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41589 FI
TRIPLE-S PROVIDER NUMBER
PR
Enumeration date
09/21/2006
Last updated
03/25/2024
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