Individual
DR. JUAN FONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 CALLE PONCE, URB. PEREZ MORRIS, HATO REY, PR 00917-5007
(787) 407-2799
Mailing address
HC 83 BOX 6954, VEGA ALTA, PR 00692-9712
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
13021
PR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
13021
PR
208D00000X
General Practice Physician
13021
PR
Other
Enumeration date
06/15/2006
Last updated
10/25/2023
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