Organization
INSTITUTO DE NEUROLOGIA DRA. IVONNE FRAGA, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVONNE DE LOURDES FRAGA M.D. (PRESIDENT)
(787) 403-5534
Entity
Organization
Contact information
Practice address
708 AVE PONCE DE LEON, SUITE 102, SAN JUAN, PR 00918-4502
(787) 763-9312
(787) 294-1246
Mailing address
PO BOX 7891, PMB 191, GUAYNABO, PR 00970-7891
(787) 403-5534
(787) 294-1246
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
13162
PR
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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