NPI 1003292475

Fajardo Pediatric Center

Organisation Primary Care Clinic/Center Ceiba, PR

Practice location

Address: 13 Castillos del Mar, Ceiba, PR 00735-3616
Phone: (787) 368-8282
Fax: (787) 655-7693

Authorised official

Name: Agapito Fontanez Nieves
Title: Physician
Phone: (787) 368-8282

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence 4710 (PR)

Other Clinic/Center providers in Puerto Rico →

Registry record

NPI: 1003292475
Entity type: Organization
NPI issued: 7 Aug 2015
Record last updated: 7 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.