| Doctor Name: | DR. JUAN FONTANEZ |
| NPI Number: | 1174567036 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 13021 |
| Business Practice Address: | 99 Calle Ponce Urb. Perez Morris Hato Rey, PR - 009175007 |
| Business Phone Number: | 7874072799 |
| Business Fax Number: | |
| Mailing Address: | Hc 83 Box 6954, VEGA ALTA |
| State: | PR |
| Postal Code: | 006929712 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207UN0902X |
| License Number: | 13021 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Nuclear Medicine |
| Taxonomy Specialization: | Nuclear Imaging & Therapy |
| Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear imaging and therapy. |