Individual
DR. ILEANA FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
430 CALLE SAN CLAUDIO, SAN JUAN, PR 00926-4222
(787) 761-0888
(787) 760-2195
Mailing address
430 CALLE SAN CLAUDIO, SAN JUAN, PR 00926-4222
(787) 761-0888
(787) 760-2195
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1621
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041282
CRUZ AZUL
PR
01
—
4000164
HUMANA
PR
01
—
41527
SSS
PR
01
—
660386268
MAPFRE
PR
01
—
660386268-02
MCS
PR
Enumeration date
09/14/2006
Last updated
07/08/2007
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