Provider Demographics
NPI:1255866364
Name:DEL CID FRATTI, JUAN DANIEL (MD)
Entity type:Individual
Prefix:MR
First Name:JUAN
Middle Name:DANIEL
Last Name:DEL CID FRATTI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3704 BIENVILLE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:OCEAN SPRINGS
Mailing Address - State:MS
Mailing Address - Zip Code:39564-5710
Mailing Address - Country:US
Mailing Address - Phone:228-872-4040
Mailing Address - Fax:312-864-9725
Practice Address - Street 1:3704 BIENVILLE BLVD STE B
Practice Address - Street 2:
Practice Address - City:OCEAN SPRINGS
Practice Address - State:MS
Practice Address - Zip Code:39564-5710
Practice Address - Country:US
Practice Address - Phone:228-872-4040
Practice Address - Fax:312-864-9725
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS35301207RI0011X
IL125070075390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology