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Individual

MARIO R FERNANDEZ GONZALEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
80 CALLE 3 SUR, GUAYAMA, PR 00784
(787) 866-1212
Mailing address
W8-27 CALLE TIRSO DE MOLINA, SAN JUAN, PR 00926-6809
(305) 775-8792

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21304
PR

Other

Enumeration date
04/01/2019
Last updated
07/26/2021
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