1629111513

Everything you always wanted to know about DR. OSTOLAZA FONSECA EDUARDO D.M.D. but were afraid to ask.

DR. OSTOLAZA FONSECA EDUARDO D.M.D.

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Provider Prefix Provider Last Name Provider First Name Provider Credential
DR. OSTOLAZA FONSECA EDUARDO D.M.D.
Gender:
Male
Enumeration date:
2007-02-14
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
40454 Other TRIPLE-S PROVIDER NUMBER PR

Taxonomies

Taxonomy State License Number Primary?
122300000X Dentist PR 0496 Y

Phone Numbers

Type Number
Mailing Address Fax Number 7877208913
Practice Location Address Fax Number 7877208913
Mailing Address Telephone Number 7877204554
Practice Location Address Telephone Number 7877204554

Addresses

Type Address City State Postal Country
Mailing Address 81 AVE ESMERALDA URB. MUNOZ RIVERA GUAYNABO PR 969 PR
Practice Location Address 81 AVE ESMERALDA URB. MUNOZ RIVERA GUAYNABO PR 969 PR

Other NPI Records that share a phone number

NPI Name Address State City
1871642256 IZQUIERDO, GINETTE
Individual
81 AVE ESMERALDA PR GUAYNABO

Other NPI Records that share an address

NPI Name Address State City
1871642256 IZQUIERDO, GINETTE
Individual
81 AVE ESMERALDA PR GUAYNABO

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1346752102 CISNEROS, ANA
Individual
3507 JAIME ZAPATA MEMORIAL HWY STE 7A TX LAREDO Identifier: 40454 (Other)