Healthcare Provider Details

I. General information

NPI: 1275540627
Provider Name (Legal Business Name): FRANCISCO HERRERO-GARCIA P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 CALLE OCEAN DR URB. BAY VIEW
CATANO PR
00962-4236
US

IV. Provider business mailing address

EAST OCEAN DRIVE NUMBER 20 URB. BAY VIEW
CATANO PR
00962-4236
US

V. Phone/Fax

Practice location:
  • Phone: 787-788-5759
  • Fax: 787-788-5759
Mailing address:
  • Phone: 787-788-5759
  • Fax: 787-788-5759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number592
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: