Fajardo Pediatric Center

NPI #1003292475 in Ceiba, Puerto Rico

Provider Information

NPI Number: 1003292475
Entity Type: Organization
Organization Name: Fajardo Pediatric Center
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: Aug 7, 2015
Last Updated: Aug 7, 2015

Practice Location

Address: 13 CASTILLOS DEL MAR
City: Ceiba
State: Puerto Rico
ZIP Code: 00735-3616
Phone: (787) 368-8282

Authorized Official

Name: DR. AGAPITO FONTANEZ NIEVES, MD
Title: PHYSICIAN
Phone: (787) 368-8282

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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