Provider Demographics
NPI:1326230335
Name:FRONTERA, JULIANA S (MT)
Entity type:Individual
Prefix:MISS
First Name:JULIANA
Middle Name:S
Last Name:FRONTERA
Suffix:
Gender:F
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3032
Mailing Address - Street 2:MARINA STATION
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3032
Mailing Address - Country:US
Mailing Address - Phone:787-832-2345
Mailing Address - Fax:
Practice Address - Street 1:100 MENDEZ VIGO E
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4955
Practice Address - Country:US
Practice Address - Phone:787-832-2345
Practice Address - Fax:787-832-2345
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other