Provider Demographics
NPI:1326479833
Name:NESTOR R FRONTERA TACORONTE MD.,CSP
Entity Type:Organization
Organization Name:NESTOR R FRONTERA TACORONTE MD.,CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NESTOR
Authorized Official - Middle Name:RAINIER
Authorized Official - Last Name:FRONTERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-821-5828
Mailing Address - Street 1:CALLE 25 DE JULIO NUM 44
Mailing Address - Street 2:
Mailing Address - City:GUANICA
Mailing Address - State:PR
Mailing Address - Zip Code:00653
Mailing Address - Country:US
Mailing Address - Phone:787-821-5828
Mailing Address - Fax:
Practice Address - Street 1:44 CALLE 25 DE JULIO
Practice Address - Street 2:
Practice Address - City:GUANICA
Practice Address - State:PR
Practice Address - Zip Code:00653-2712
Practice Address - Country:US
Practice Address - Phone:787-821-5828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty