Servicios Medicos Integrados De Fajardo, P.s.c.

NPI #1407001829 in Fajardo, Puerto Rico

Provider Information

NPI Number: 1407001829
Entity Type: Organization
Organization Name: Servicios Medicos Integrados De Fajardo, P.s.c.
Primary Specialty: General Practice
Enumeration Date: Nov 26, 2008
Last Updated: Oct 10, 2011

Practice Location

Address: I24 CALLE PRINCIPAL
Address 2: URB BARALT
City: Fajardo
State: Puerto Rico
ZIP Code: 00738-3772
Phone: (787) 863-7646

Authorized Official

Name: DR. AGAPITO FONTANEZ
Title: PRESIDENT
Phone: (787) 863-7646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Pediatrics	208000000X
General Practice	208D00000X	Primary

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