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Individual

DR. ELIZ MARIE FUENTES PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
CARR 448 KM 2.0 INT SECT YEYO GONZALEZ BO GUAJATACA, SAN SEBASTIAN, PR 00685
(939) 438-5543
Mailing address
HC 08 BOX 83531, SAN SEBASTIAN, PR 00685
(939) 438-5543

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
22960
PR
208D00000X
General Practice Physician
Primary
22960
PR

Other

Enumeration date
08/26/2022
Last updated
08/26/2022
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