Individual
DR. EVELYN MATTA FONTANET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21 LAS FLORES, RIO GRANDE, PR 00745
(787) 809-4025
(787) 809-4025
Mailing address
390 CALLE GARDENIA, LA PONDEROSA, RIO GRANDE, PR 00745-2201
(787) 809-4025
(787) 809-4025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13484
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13484
MEDICAL LICENSE
PR
Enumeration date
06/21/2006
Last updated
02/22/2011
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