Individual
MIGUEL A FONTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
JESUS FRAGOSO AVE &65 TH INF. AVE, CAROLINA, PR 00988
(787) 769-4122
Mailing address
JESUS FRAGOSOAVE & 65 INF AVE, CAROLINA, PR 00988
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3349
PR
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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