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MR. JOSE SAMUEL FUENTES ROMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
531 AVE MIRAMAR, ARECIBO, PR 00612-4360
(787) 817-1383
Mailing address
PO BOX 3102, ARECIBO, PR 00613-3102
(787) 363-0228

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021-P.A.
PR

Other

Enumeration date
03/23/2021
Last updated
03/23/2021
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