Individual
CARMEN YOLANDA FONSECA- ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE. EL JIBARO CARR. 172 KM 13.5, CIDRA, PR 00739
(939) 289-5460
Mailing address
PO BOX 1926, CAGUAS, PR 00726-1926
(939) 289-5460
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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