Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 13251 | PR |
N | 111NI0900X | Internist | 13251 | PR |
N | 207RC0200X | Critical Care Medicine | 13251 | PR |
Y | 207RP1001X | Pulmonary Disease | 13251 | PR |
N | 207RS0012X | Sleep Medicine | 13251 | PR |
NPI | 1003850397 |
---|---|
Provider Name | Dr. George Paul Fahed |
First Address | Coto Laurel, PR 00780-2636 |
Second Address | Ponce, PR 00716-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 09/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13251 | MEDICAL LICENSE (01) | PR |
H81957 | (02) | PR |