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Individual

DR. FERNANDO ECHEANDIA FUSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
CARR 111 KM 4.2, LARES, LARES, PR 00669
(787) 897-5683
Mailing address
PO BOX 1792, LARES, PR 00669-1792
(787) 897-5683

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11273
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100160W
MMM
PR
01
1077
PREFERRED MEDICARE CHOISE
PR
01
3377-5
ASOCIACION DE MAESTROS
PR
01
7059
INTERNATIONAL MEDICAL CAR
PR
01
83632
83632
PR
Enumeration date
09/06/2006
Last updated
05/11/2020
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