Healthcare Provider Details

I. General information

NPI: 1972596351
Provider Name (Legal Business Name): FRANCISCO GUZMAN YUNQUE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2005
Last Update Date: 11/30/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 2 BLQ. 1 #1 SABANA GARDENS
CAROLINA PR
00983
US

IV. Provider business mailing address

PO BOX 6022 PMB 318
CAROLINA PR
00984-6022
US

V. Phone/Fax

Practice location:
  • Phone: 787-769-7645
  • Fax: 787-769-7645
Mailing address:
  • Phone: 787-769-7645
  • Fax: 787-769-7645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number13028
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number13028
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: