Individual
FARES A CID MANSUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE ACACIA EDIFICIO MICHELLE PLAZA SECTOR VILLA FLORE, SUITE 106, PONCE, PR 00716-0000
(787) 812-1210
(787) 812-1211
Mailing address
PMB 383609, AVE TITO CASTRO SUITE 102, PONCE, PR 00716-0000
(787) 812-1210
(787) 812-1211
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10164
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01133
AMERICAN HEALTH
PR
01
—
060853
CRUZ AZUL DE PR
PR
01
—
2095
PREFERRED MEDICARE CHOICE
PR
01
—
220220
PREFERRED HEALTH
PR
01
—
3603
FIRST MEDICAL
PR
01
—
37225
PROSSAM
PR
01
—
602066
MEDICARE Y MUCHO MAS
PR
01
—
8000285
HUMANA INSURANCE
PR
01
—
83133
TRIPLE S
PR
01
—
M399
PLAN MENONITA
PR
01
—
P00160427
PA;METTO
GA
Enumeration date
06/08/2006
Last updated
10/15/2013
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