Individual
MR. EDDIE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
CARR 129 KM 21.8, BO CALLEJONES, LARES, PR 00669
(787) 897-0263
(787) 897-0263
Mailing address
P O BOX 143233, ARECIBO, PR 00614
(787) 897-0263
(787) 897-0263
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
4047
PR
Other
Enumeration date
03/11/2008
Last updated
03/28/2008
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