Individual
STEFANO COPPOLA-FASICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
HOSPITAL MENONITA DE CAGUAS, CARR 172 SALIDA 21 TURABO GARDENS, CAGUAS, PR 00727-0072
(787) 653-0550
Mailing address
PO BOX 430, GUAYNABO, PR 00970-0430
(787) 635-8232
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
19766
PR
Other
Enumeration date
04/15/2015
Last updated
01/12/2024
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