Organization
DR JA FONTANILLAS CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE ARNOLDO FONTANILLAS MD (PEDIATRICIAN)
(787) 895-4052
Entity
Organization
Contact information
Practice address
CAR #2 KM 96.7, BO COCOS, 2ND FLOOR FARMACIA GLORIANA, QUEBRADILLAS, PR 00678
(787) 895-4052
(787) 895-1188
Mailing address
PO BOX 1456, QUEBRADILLAS, PR 00678-1456
(787) 895-4052
(787) 895-1188
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8663
PR
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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