Individual
HECTOR MORENO FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
431 TULANE, VEGA BAJA, PR 00693
(787) 382-4410
Mailing address
431 TULANE, VEGA BAJA, PR 00693
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19497
PR
208D00000X
General Practice Physician
19497
PR
390200000X
Student in an Organized Health Care Education/Training Program
13989I
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356713176
—
PR
Enumeration date
10/21/2015
Last updated
09/02/2021
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