Individual
LUIS FONTAN LASANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
ROAD 14 KM 72.0 BO RINCON SEC LOMAS, CENTRO MEDICO MENONITA CAYEY, CAYEY, PR 00737-2800
(877) 535-1001
(787) 535-1012
Mailing address
20 LUIS MUNOZ MARIN AVENUE, PMB 611 URB VILLA BLANCA, CAGUAS, PR 00725
(787) 644-1333
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
13566
PR
Other
Enumeration date
03/27/2007
Last updated
04/03/2019
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