Healthcare Provider Details

I. General information

NPI: 1114908704
Provider Name (Legal Business Name): DR. FRANCISCO HIRAM JAUME BOSCIO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 04/25/2024
Certification Date: 04/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 110 KM 24.2 EDIFICIO SAN JOSE SUITE 1 BO CEIBA BAJA
AGUADILLA PR
00604-0000
US

IV. Provider business mailing address

PO BOX 250409
AGUADILLA PR
00604-0409
US

V. Phone/Fax

Practice location:
  • Phone: 787-882-0434
  • Fax: 787-882-0449
Mailing address:
  • Phone: 787-882-0434
  • Fax: 787-882-0449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number13562
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: