Most Relevant Information
Provider Data
| NPI Number: | 1003198755 |
| Provider Name: | LOURDES M. FUENTES RIVERA PT. |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 000724 |
Most Important Dates
| Enumeration Date: | 09/19/2011 |
| Last Updated: | 09/19/2011 |
Provider Practice Location
URB. JARDINES DE CAPARRA
CALLE 13 F18
BAYAMON
PR
009590000
Practice Location Phone/Fax
| Phone: | 7873976253 |
| Fax: | 7877855041 |
Provider Mailing Location
URB. JARDINES DE CAPARRA
CALLE 13 F18
BAYAMON
PR
009590000
Provider Mailing Phone/Fax
| Phone: | 7873976253 |
| Fax: | 7877855041 |