Doctor Name: | DR. ANA MARIA FAGET |
NPI Number: | 1265630859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 16566 |
Business Practice Address: | 21 Ave Wall Terrazas De Tintillo Guaynabo, PR - 009661657 |
Business Phone Number: | 7877815427 |
Business Fax Number: | |
Mailing Address: | 21 Ave Wall, Terrazas De Tintillo GUAYNABO |
State: | PR |
Postal Code: | 009661657 |
Phone Number: | 7877815427 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |