Individual
DR. FRANCISCO FONTANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
CUPEY PROFESSIONAL MALL SUITE 102, 359 AVE SAN CLAUDIO, SAN JUAN, PR 00926
(787) 769-8260
Mailing address
MSC 180, 100 GRAND BOULEVARD PASEOS, SUITE 112, SAN JUAN, PR 00926-5955
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2591
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206956
PREFERRED HEALTH (UTI)
PR
01
—
42556FO
SSS (TRIPLE-S)
PR
01
—
9240103
HUMANA
PR
01
—
DN02591
UIA
PR
Enumeration date
10/24/2006
Last updated
01/10/2024
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