Individual
RAFAEL ANTONIO FONSECA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1825 CALLE NAVARRA STE 301, PONCE, PR 00716-4614
(787) 789-1996
Mailing address
CALLE A E-12 ESTANCIAS DEL PARQUE, GUAYNABO, PR 00969
(787) 363-3033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
861
PR
Other
Enumeration date
07/15/2021
Last updated
07/17/2024
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