Organization
NORTHEN ORTHOPEDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN A RIOS FUENTES M.D. (PRESIDENTE)
(787) 854-7979
Entity
Organization
Contact information
Practice address
425 CARR 693 PM325, DORADO, PR 00646
(787) 854-7979
(787) 884-3033
Mailing address
425 CARR 693, PMB 325, DORADO, PR 00646-4802
(787) 854-7979
(787) 884-3033
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14033
PR
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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