Organization
RFN-IPSRM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALEXANDER FONTANEZ NIEVES MD (PRESIDENT)
(787) 408-6239
Entity
Organization
Contact information
Practice address
640 AVE ANDALUCIA, SAN JUAN, PR 00920-5311
(787) 408-6239
Mailing address
PO BOX 1603, DORADO, PR 00646-1603
(787) 408-6239
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
12/12/2023
Last updated
08/05/2024
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