Individual provider · Type 1 NPI

Cristina Isabel Ponce-Fantauzzi Blanc, DMD

Student in an Organized Health Care Education/Training Program · San Juan, PR

NPI number 1386408474 Active

Practice location

PO Box 365067
San Juan, PR 00936-5067

Call (787) 758-2525 Map

Mailing address

Urb. Entrerios #10, Via Enramada
Trujillo Alto, PR 00976

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386408474

Cristina Isabel Ponce-Fantauzzi Blanc, DMD's National Provider Identifier is 1386408474, issued on Feb 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Juan, PR. The record was last updated on May 20, 2025.