Individual
LETICIA MARIA FONTANEZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CENTRO MEDICO, RIO PIEDRAS, PR 00924
(787) 763-4149
Mailing address
PO BOX 192566, SAN JUAN, PR 00919-2566
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22525
PR
Other
Enumeration date
06/11/2018
Last updated
09/03/2021
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