JOAQUIN EDUARDO LORIE FUENTES

BRONX, NY
NPI1194594929
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-12-20
Last Update Date2023-12-20
Business Address
JOAQUIN EDUARDO LORIE FUENTES MD
1650 GRAND CONCOURSE
BRONX, NY 10457-7679
Phone number: 917-705-9468
Mailing Address
JOAQUIN EDUARDO LORIE FUENTES MD
445 GERARD AVE APT W208
BRONX, NY 10451-5865
Phone number: 929-606-2794