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Contact Information

DR JA FONTANILLAS CSP
CAR #2 KM 96.7
BO COCOS, 2ND FLOOR FARMACIA GLORIANA
QUEBRADILLAS, PR00678
 Phone: 787-895-4052
 Fax: 787-895-1188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for DR JA FONTANILLAS CSP · (Female)

NPI # 1376596171
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • PR License # 8663
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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