Individual
MANUELA A FONSECA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE GEORGETTI #122, AMBULATORY MEDICAL SERVICES, RIO PIEDRAS, PR 00925
(787) 758-1718
(787) 758-1718
Mailing address
URB PACIFICA P6 121, VIA ARCOIRIS ENCANTADA, TRUJILLO ALTO, PR 00976
(787) 755-8786
(787) 758-1718
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
BF2810871
PR
208D00000X
General Practice Physician
DM097915
PR
Other
Enumeration date
09/01/2006
Last updated
07/08/2007
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