Individual
DR. JOSE G FOURQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE 1#1, URB. GIBRALTAR, GUAYAMA, PR 00784
(787) 866-7740
Mailing address
CALLE 1 A#6, URB. VISTA MAR, GUAYAMA, PR 00784
(787) 613-9325
(787) 866-7710
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12020
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-12020
MCS
PR
01
—
22145FO
SSS
PR
Enumeration date
10/02/2006
Last updated
07/08/2007
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