FABIAN ANDRES VIDARTE QUINTANA

CAROLINA, PR
NPI1124812938
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-07
Last Update Date2025-04-07
Business Address
FABIAN ANDRES VIDARTE QUINTANA MD
CARRETERA 3 KM. 8.3 AVE 65 DE INFANTERIA
CAROLINA, PR 00984
Phone number: 787-757-1800
Mailing Address
FABIAN ANDRES VIDARTE QUINTANA MD
2216 CALLE IGUALDAD
PONCE, PR 00717-2316
Phone number: 787-702-4231