Individual
MR. FIDEL ANTONIO SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CALLE PARQUE#79 BO MONTE GRANDE, CABO ROJO, PR 00623
(787) 357-7210
Mailing address
79 CALLE PARQUE E, CABO ROJO, PR 00623-3707
(787) 357-7210
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
261Q00000X
PR
Other
Enumeration date
02/16/2010
Last updated
02/16/2010
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