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Individual

REINALDO JOSE FORNARIS PARAVISINI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
JARDINES METROPOLITANOS #1. 355 GALILEO STREET., SUITE # 8L, SAN JUAN, PR 00927-0692
(787) 528-5531
Mailing address
JARDINES METROPOLITANOS #1. 355 GALILEO STREET., SUITE # 8L, SAN JUAN, PR 00927-0692
(787) 528-5531

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
019016
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
019016
MD LICENSE
PR
Enumeration date
08/13/2010
Last updated
09/27/2016
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