Individual
NESJUAN FAELIO CARDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HOSPITAL BUEN SAMARITANO, CARR #2 KM 141.1 AVE. KENNEDY, AGUADILLA, PR 00603
(787) 819-0800
Mailing address
PO BOX 1622, SAN SEBASTIAN, PR 00685-1622
(787) 896-6586
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15155
PR
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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