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Mr. JOSE SAMUEL FUENTES ROMAN PA

Individual Provider (NPI-1) Active

Student in an Organized Health Care Education/Training Program

Provider Information

NPI Number
1376129809
Provider Type
Individual Provider (NPI-1)
Credentials
PA
Status
Active

Contact & Location

Address
531 AVE MIRAMAR, ARECIBO, PR, 006124360
Phone
(787) 817-1383

Specialties & Taxonomies

Physician Assistant License: PR #021-P.A.
Student in an Organized Health Care Education/Training Program Primary License: PR #17746-I

All Addresses

MAILING

PO BOX 3102

ARECIBO, PR, 006133102

(787) 363-0228

LOCATION

531 AVE MIRAMAR

ARECIBO, PR, 006124360

(787) 817-1383