Fontanella Lara, Antonio Rafael
Fontanella Lara, Antonio Rafael is an sole proprietor health care provider with primary practice located at 37 Fox Chase Dr , Enterprise AL 36330-9339. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fontanella Lara, Antonio Rafael can be contacted via phone (786) 417-1647.Contact Information
Primary practice address
37 Fox Chase Dr
Enterprise AL 36330-9339
Phone: (786) 417-1647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 16362 | Puerto Rico |
Profile Details
| NPI number | 1952506362 |
|---|---|
| LBN Legal business name | Fontanella Lara, Antonio Rafael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2007 |
| Last updated | Oct 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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