Dr Ja Fontanillas Csp

NPI #1376596171 in Quebradillas, Puerto Rico

Provider Information

NPI Number: 1376596171
Entity Type: Organization
Organization Name: Dr Ja Fontanillas Csp
Primary Specialty: Pediatrics
Enumeration Date: May 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: CAR #2 KM 96.7
Address 2: BO COCOS, 2ND FLOOR FARMACIA GLORIANA
City: Quebradillas
State: Puerto Rico
ZIP Code: 00678
Phone: (787) 895-4052

Authorized Official

Name: DR. JOSE ARNOLDO FONTANILLAS, MD
Title: PEDIATRICIAN
Phone: (787) 895-4052

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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