1972596351 NPI number — FRANCISCO GUZMAN YUNQUE M.D.

Table of content: (NPI 1427223205)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972596351 NPI number — FRANCISCO GUZMAN YUNQUE M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GUZMAN YUNQUE
Provider First Name:
FRANCISCO
Provider Middle Name:
Provider Name Prefix Text:
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:
1972596351
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/30/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6022
Provider Second Line Business Mailing Address:
PMB 318
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00984-6022
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-769-7645
Provider Business Mailing Address Fax Number:
787-769-7645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE 2 BLQ. 1 #1
Provider Second Line Business Practice Location Address:
SABANA GARDENS
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00983
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-769-7645
Provider Business Practice Location Address Fax Number:
787-769-7645
Provider Enumeration Date:
08/31/2005

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: 2084P0800X , with the licence number:  13028 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 2084P0804X , with the licence number: 13028 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1972596351 . This is a "APS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 535 . This is a "HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 296143099 . This is a "MCS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1972596351 . This is a "COSVI" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: PQ1022 . This is a "PALIC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 222109 . This is a "UTI (PREFERRED HEALTH)" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6-1200 . This is a "BLUE CROSS OF P.R." identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1972596351 . This is a "FIRST MEDICAL-IMC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 89902GU . This is a "TRIPLE-S INC." identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".