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NPI Code Detail

MEDICARE: NESTOR R FRONTERA TACORONTE MD.,CSP

MEDICARE: NESTOR R FRONTERA TACORONTE MD.,CSP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1326479833
Entity Type Code : Organization
Provider Name (Legal Business Name) : NESTOR R FRONTERA TACORONTE MD.,CSP
Provider Business Mailing Address
First Line : CALLE 25 DE JULIO NUM 44
Second Line :
City : GUANICA
State : PR
Zip : 00653
Country : US
Telephone Number : 787-821-5828
Fax Number :
Provider Business Practice Location Address
First Line : 44 CALLE 25 DE JULIO
Second Line :
City : GUANICA
State : PR
Zip : 00653-2712
Country : US
Telephone Number : 787-821-5828
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. NESTOR RAINIER FRONTERA
Credential : MD
Telephone Number : 787-821-5828
Provider Enumeration Date : 12/09/2013
Last Update Date : 12/09/2013

Similar Medicare Providers

1043206246 — DR. NESTOR R. FRONTERA-TACORONTE MD
Practice Location Address:
44 CALLE 25 DE JULIO
GUANICA, PR
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Practice Fax: 787-821-5828
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1861140295 — CARMEN MARIA QUINONES MORALES PHARMD
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Practice Location Address:
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Directions to “NESTOR R FRONTERA TACORONTE MD.,CSP ” Practice Location

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