MEDICARE: DR. FRANCIS PICON DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	2036	PR
2	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	2036	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	041633	OTHER	LA CRUZ AZUL DE PUERTO RI
2	DP02036	OTHER	PLAN DE SALUD UIA
3	41886PI	OTHER	SEGUROS DE SERVICIOS DE S
4	831925	OTHER	UNITED CONCORDIA
5	9180189	OTHER	HUMANA INSURANCE
6	26191	OTHER	AMERICAN HEALTH
7	9180189	OTHER	HUMANA REFORMA

General Provider Information

NPI Number	:	1548232580
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS PICON DMD

Provider Business Mailing Address
First Line	:	87 AVE DE DIEGO STE 112-2
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00927-6322
Country	:	US
Telephone Number	:	787-461-6516
Fax Number	:

Provider Business Practice Location Address
First Line	:	42 CALLE FARAGAN
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-2588
Country	:	US
Telephone Number	:	787-461-6516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	07/13/2020

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