Individual
LIZA V FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
A2 YUNQUECITO, CAROLINA, PR 00987-7329
(787) 757-3300
Mailing address
A1 CALLE YUNQUECITO, URB LOMAS DE CAROLINA, CAROLINA, PR 00987-7329
(787) 757-3300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
668
PR
Other
Enumeration date
10/05/2011
Last updated
10/08/2015
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