Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 11414I | PR |
N | 111NI0900X | Internist | 11414I | PR |
N | 207RC0200X | Critical Care Medicine | 18297 | PR |
Y | 207RP1001X | Pulmonary Disease | 18297 | PR |
NPI | 1063615649 |
---|---|
Provider Name | Dr. Onix Joel Cantres-Fonseca |
First Address | Toa Baja, PR 00949-9628 |
Second Address | Toa Baja, PR 00949-9628 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2007 |
Last Update Date | 13/07/2013 |