Individual
MAGDA FIDALGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BO. MONACILLO CENTRO MEDICO, HOSPITAL SAN JUAN, SAN JUAN, PR 00928
(787) 765-0521
Mailing address
PMB 668 #138 AVE. WINSTON CHURCHILL, SAN JUAN, PR 00926
(787) 599-3192
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14970
PR
Other
Enumeration date
05/21/2007
Last updated
05/09/2012
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