Individual
DR. PEDRO FUENTES LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
AVE. CASA LINDA NUM. 1 SUITE 101, ENTRADA AMERICAN MILITARY ACADEMY, BAYAMON, PR 00959
(787) 789-1919
(787) 731-0357
Mailing address
PMB 509, P.O.BOX 7891, GUAYNABO, PR 00970-7891
(787) 789-1919
(787) 731-0597
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
665
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40035
SSS
PR
Enumeration date
09/05/2006
Last updated
07/08/2007
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