Provider Demographics
NPI:1376759860
Name:FONT, LUIS ARMANDO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:ARMANDO
Last Name:FONT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:252 CALLE SAN JORGE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3239
Mailing Address - Country:US
Mailing Address - Phone:787-999-9450
Mailing Address - Fax:
Practice Address - Street 1:258 TORRE MEDICA SAN JORGE SAN JORGE STREET
Practice Address - Street 2:SUITE 206
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-999-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14353208000000X, 2080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics