Healthcare Provider Details

I. General information

NPI: 1871928994
Provider Name (Legal Business Name): FRANSIS FUENTES PHARMACY TECH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2013
Last Update Date: 09/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA NUMERO 2, KM 8.5 SECTOR JUAN DOMINGO
BAYAMON PR
00960
US

IV. Provider business mailing address

HC 75 BOX 1119
NARANJITO PR
00719-9732
US

V. Phone/Fax

Practice location:
  • Phone: 787-782-8250
  • Fax:
Mailing address:
  • Phone: 787-412-8314
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number7397
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: