Healthcare Provider Details

I. General information

NPI: 1114634649
Provider Name (Legal Business Name): JEAN CARLOS FRANCO MOREIRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2022
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. CAGUAS NORTE CALLE QUEBEC AG15
CAGUAS PR
00725-0072
US

IV. Provider business mailing address

URB. CAGUAS NORTES CALLE QUEBEC AG15
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-615-3693
  • Fax:
Mailing address:
  • Phone: 787-615-3693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number003273
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: