Individual
EDWARD B SMITH FERMOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
AVE. GENERAL VALERO .KM.2.6 CARRE #194, FAJARDO, PR 00738
(787) 655-5030
Mailing address
130 AVE WINSTON CHURCHILL, SUITE 1 PMB 368, SAN JUAN, PR 00926-6018
(787) 761-6046
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
7830
PR
Other
Enumeration date
07/21/2006
Last updated
12/10/2010
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