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Individual

DR. GISELA VEGA FONSECA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
DIAZ BRETANA MEDICAL BUILDING 203, CARR 183 KM 10.4, SAN LORENZO, PR 00754
(787) 485-9953
Mailing address
COND. PASEO GALES 2501, CARR. 9189 APTD. 47, GURABO, PR 00778
(787) 718-2812

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23201
PR

Other

Enumeration date
02/08/2022
Last updated
07/30/2024
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