Individual
CRISTINA ISABEL PONCE-FANTAUZZI BLANC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
Mailing address
URB. ENTRERIOS #10, VIA ENRAMADA, TRUJILLO ALTO, PR 00976
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/08/2024
Last updated
05/20/2025
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