Healthcare Provider Details

I. General information

NPI: 1174466213
Provider Name (Legal Business Name): FRANCISCO EDUARDO GARRASTEGUI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB QUINTAS DEL NORTE CALLE 4 C17
BAYAMON PR
00959
US

IV. Provider business mailing address

URB QUINTAS DEL NORTE CALLE 4 C17
BAYAMON PR
00959
US

V. Phone/Fax

Practice location:
  • Phone: 939-497-6650
  • Fax:
Mailing address:
  • Phone: 939-497-6650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: