Individual
LINNETTE FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
CARMELITA CALLE 15, #6, VEGA ALTA, PR 00692
(787) 604-4248
(787) 855-1565
Mailing address
BO CARMELITA CALLE 15 BZN 104, VEGA BAJA, PR 00693
(787) 604-4248
(787) 855-1565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
999
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50616
PMC
PR
01
—
870073
MMM
PR
Enumeration date
03/09/2007
Last updated
07/08/2007
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