Organization
CENTRO GERIATRICO DEL ESTE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS A FONTANEZ, MD SR. 16110 (MEDICO)
(787) 340-4125
Entity
Organization
Contact information
Practice address
151 AVE OSVALDO MOLINA, SUITE 103, FAJARDO, PR 00738-4013
(787) 801-0081
Mailing address
PO BOX 458, PUERTO REAL, PR 00740-0458
(787) 801-0081
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
5177
PR
Other
Enumeration date
07/16/2008
Last updated
06/23/2025
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