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Individual

MR. LUIS EDGARDO FORTUNO-MOSCOSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
C8 CALLE LA ROGATIVA, PASEO SAN JUAN, SAN JUAN, PR 00926-6505
(787) 642-4433
(787) 293-4161
Mailing address
C8 CALLE LA ROGATIVA, PASEO SAN JUAN, SAN JUAN, PR 00926-6505
(787) 642-4433
(787) 293-4161

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
401
PR

Other

Enumeration date
02/19/2012
Last updated
04/05/2026
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