Individual
MR. FERNANDO SILVA CRESPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
URB VILLA PRADES, 843 CALLE CARMEN SANABRIA, SAN JUAN, PR 00924
(787) 450-9434
Mailing address
PO BOX 30270, SAN JUAN, PR 00929-0270
(787) 310-3012
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
1811248
PR
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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