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Primary Practice Address
21 LAS FLORES
RIO GRANDE, PR 745 US
PECOS Enrolled

Evelyn Matta Fontanet

Internal Medicine Physician


Evelyn Matta Fontanet

Overview

Evelyn Matta Fontanet is a Internal Medicine Physician in the RIO GRANDE area and has over 26 years of experience. Evelyn Matta Fontanet primary office location is at 21 LAS FLORES and new patients are welcome to contact this healthcare provider for an appointment. We do not know where she was educated but we know that she graduated in 1998 The NPI number is 1700822574 and the information was updated approximately 13 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
21 LAS FLORES
RIO GRANDE, PR 745 US
Phone: (787)-809-4025
Fax:
Practice Mailing Information
390 CALLE GARDENIA
RIO GRANDE, PR 745 US
Phone: (787)-809-4025
Fax: (787)-809-4025
License Number State
13484 PR
Type/Issuer IdentifierState
MEDICAL LICENSE 13484 PR

PECOS Details:

Participates in PECOS: YES
PECOS Individual Enrollment ID: I20110224000750
PECOS Individual PAC ID: 9537184874
Eligible to order/refer Part B Clinical Laboratory and Imaging Yes
Eligible to order/refer Durable Medical Equipment (DME) Yes
Eligible to order/refer Home Health Agency (HHA) Yes
Eligible to order/refer Power Mobility Devices (PMD) Yes