| NPI | 1326160227 |
|---|---|
| Other Name | EVELYN FONSECA, MD |
| Entity Type | Organization |
| Authorized Contact | EVELYN MARIE FONSECA Owner 787-258-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: PR 9601) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |