| Evelyn Fonseca, Md | |
|
San Juan Bautista Medical Center Rd. 172, Urb. Turabo Gardens Caguas PR 00725-0000 | |
| (787) 258-5858 | |
| (787) 258-5858 |
| Full Name | Evelyn Fonseca, Md |
|---|---|
| Speciality | Clinic/center |
| Location | San Juan Bautista Medical Center, Caguas, Puerto Rico |
| Authorized Official Name and Position | Evelyn Marie Fonseca (OWNER) |
| Authorized Official Contact | 7872585858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evelyn Fonseca, Md Pmb 331 Po Box 4961 Caguas PR 00726-4961 Ph: (787) 258-5858 | Evelyn Fonseca, Md San Juan Bautista Medical Center Rd. 172, Urb. Turabo Gardens Caguas PR 00725-0000 Ph: (787) 258-5858 |
| NPI Number | 1326160227 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326160227 | NPI | - | NPPES |
| 82480 | Other | PR | TRIPLE-S |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9601 (Puerto Rico) | Primary |
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