Individual
KENEL FERNANDEZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 AVE SANTA ANA APT 805, GUAYNABO, PR 00971-9310
(787) 398-7876
Mailing address
146 AVE SANTA ANA APT 805, GUAYNABO, PR 00971-9310
(787) 398-7876
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21735
PR
Other
Enumeration date
03/02/2020
Last updated
08/07/2020
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