Provider Demographics
NPI:1770570194
Name:DEL AMO, FERNANDO M (MD)
Entity type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:M
Last Name:DEL AMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:CAROLINA SHOPP CTR
Mailing Address - Street 2:DC 15
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5672
Mailing Address - Country:US
Mailing Address - Phone:787-760-6604
Mailing Address - Fax:787-292-0130
Practice Address - Street 1:CAROLINA SHOPP CTR
Practice Address - Street 2:DC 15
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5672
Practice Address - Country:US
Practice Address - Phone:787-760-6604
Practice Address - Fax:787-292-0130
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16188204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR160531OtherDM
PR16188OtherCERTIFICACION