Individual
JUAN GERARDO ALMODOVAR FABREGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1462 CALLE PROF AUGUSTO RODRIGUEZ, SAN JUAN, PR 00909
(787) 641-1616
Mailing address
PO BOX 19617, SAN JUAN, PR 00910-1617
(787) 685-8649
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
19044
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19044
LISENCE NUMBER
PR
Enumeration date
06/26/2011
Last updated
10/22/2018
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