Provider Demographics
NPI:1528631389
Name:FUSTER ASTOR, FRANCES ZADETTE (MD)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:ZADETTE
Last Name:FUSTER ASTOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 CALLE DE DIEGO APT 616
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-3020
Mailing Address - Country:US
Mailing Address - Phone:787-239-7318
Mailing Address - Fax:
Practice Address - Street 1:DR. JOSE CELSO BARBOSA DRIVE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15746390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program