1194713412 NPI number — DR. FRANCISCO JUAN COLMENARES M.D.

Table of content: DR. FRANCISCO JUAN COLMENARES M.D. (NPI 1194713412)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194713412 NPI number — DR. FRANCISCO JUAN COLMENARES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COLMENARES
Provider First Name:
FRANCISCO
Provider Middle Name:
JUAN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194713412
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/07/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
320 TIVOLI STREET
Provider Second Line Business Mailing Address:
ESTANCIAS DE TORTUGUERO
Provider Business Mailing Address City Name:
VEGA BAJA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00693-3610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-855-0176
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
VICTOR ROJAS 2, CARRETERA 129
Provider Second Line Business Practice Location Address:
HOSPITAL METROPOLITANO
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-816-1818
Provider Business Practice Location Address Fax Number:
787-816-1824
Provider Enumeration Date:
10/11/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , with the licence number:  10797 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1107474 . This is a "DRIVER'S LICENSE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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