Matta Fontanet, Evelyn

Matta Fontanet, Evelyn is an individual health care provider with primary practice located at 21 Las Flores , Rio Grande PR 00745. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Matta Fontanet, Evelyn can be contacted via phone (787) 809-4025.

Contact Information

Primary practice address
21 Las Flores Rio Grande PR 00745
Phone: (787) 809-4025
Fax: (787) 809-4025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 13484 Puerto Rico

Profile Details

NPI number 1700822574
LBN Legal business name Matta Fontanet, Evelyn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Feb 22nd, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700822574 NPPES
Puerto Rico Other 13484 MEDICAL LICENSE

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