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Individual

MANUEL FERNANDEZ

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
AVE BALDORIOTY #67, CAYEY, PR 00736
(787) 263-0702
(787) 738-5970
Mailing address
PO BOX 372488, CAYEY, PR 00737-2488
(787) 738-5611
(787) 738-5970

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5026
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
065277
CRUZ AZOL DE PR
PR
01
3464
INTERNATIONAL MEDICAL CAR
PR
Enumeration date
10/19/2005
Last updated
07/08/2007
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