Organization
MANATI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS FANTAUZZI M.D. (INTERN)
(787) 234-3729
Entity
Organization
Contact information
Practice address
BO BEJUCOS SECT FLORIDA CARR 112 INT, ISABELA, PR 00662
(787) 234-3729
Mailing address
BO BEJUCOS, SEC FLORIDA CARR 112 INT, ISABELA, PR 00662
(787) 234-3729
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
13668I
PR
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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