Organization
NUCLEAR SCAN PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN FONTANEZ NIEVES MD (PRESIDENT)
(787) 642-7489
Entity
Organization
Contact information
Practice address
11 CALLE CARAZO, GUAYNABO, PR 00969-5636
(787) 642-7489
(787) 642-7489
Mailing address
PO BOX 367580, SAN JUAN, PR 00936-7580
Taxonomy
Speciality
Code
Description
License number
State
207UN0901X
Nuclear Cardiology Physician
Primary
13021
PR
Other
Enumeration date
05/02/2018
Last updated
05/02/2018
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