Individual
GUSTAVO FADHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
SAN JUAN CITY HOSPITAL, MEDICAL CENTER, SAN JUAN, PR 00936
(787) 766-2223
Mailing address
LUIS MUNOZ MARIN AVE. STE 206, QUADRANGLE MEDICAL CENTER, CAGUAS, PR 00725
(787) 746-0895
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1685
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223P0700X
TAXONOMY
PR
Enumeration date
09/08/2005
Last updated
12/03/2008
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