Individual
DR. FERNANDO L COSTAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2TR510 VIA ADELINA, VILLA FONTANA, CAROLINA, PR 00983-3864
(787) 762-0045
(787) 750-1460
Mailing address
96 CALLE GARDENIA, CIUDAD JARDIN, CAROLINA, PR 00987-2207
(787) 762-0045
(787) 750-1460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1132
PR
Other
Enumeration date
08/18/2005
Last updated
07/08/2007
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