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1740204841
MARIO R FERNANDEZ
FAJARDO, PR
NPI
1740204841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
146D00000X Personal Emergency Response Attendant
(Licence: PR 16057)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Dr. MARIO R FERNANDEZ MD
HIMA SAN PABLO DEL ESTE AVE CONQUISTADOR
FAJARDO, PR 00738
Phone number: 787-863-0505
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Mailing Address
Dr. MARIO R FERNANDEZ MD
COND CHURCHILL PARK APT F 402
SAN JUAN, PR 00926
Phone number:
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