| Nestor R Frontera Tacoronte Md.,csp | |
|
44 Calle 25 De Julio Guanica PR 00653-2712 | |
| (787) 821-5828 | |
| Not Available |
| Full Name | Nestor R Frontera Tacoronte Md.,csp |
|---|---|
| Speciality | General Practice |
| Location | 44 Calle 25 De Julio, Guanica, Puerto Rico |
| Authorized Official Name and Position | Nestor Rainier Frontera (PRESIDENT) |
| Authorized Official Contact | 7878215828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nestor R Frontera Tacoronte Md.,csp Calle 25 De Julio Num 44 Guanica PR 00653 Ph: (787) 821-5828 | Nestor R Frontera Tacoronte Md.,csp 44 Calle 25 De Julio Guanica PR 00653-2712 Ph: (787) 821-5828 |
| NPI Number | 1326479833 |
|---|---|
| Provider Enumeration Date | 12/09/2013 |
| Last Update Date | 12/09/2013 |
| Medicare PECOS PAC ID | 3375767957 |
|---|---|
| Medicare Enrollment ID | O20140623001006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326479833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Nestor R Frontera Tacoronte |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043206246 PECOS PAC ID: 4688665367 Enrollment ID: I20040520001495 |
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