| Doctor Name: | NESJUAN FAELIO CARDONA |
| NPI Number: | 1194936112 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 15155 |
| Business Practice Address: | Hospital Buen Samaritano Carr #2 Km 141.1 Ave. Kennedy Aguadilla, PR - 00603 |
| Business Phone Number: | 7878190800 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1622, SAN SEBASTIAN |
| State: | PR |
| Postal Code: | 006851622 |
| Phone Number: | 7878966586 |
| Fax Number: | |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15155 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |