Healthcare Provider Details

I. General information

NPI: 1720048812
Provider Name (Legal Business Name): LUIS A FRANCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA 154 KM 2.8, LOT 8 SECTOR RIO JUEYES
COAMO PR
00769
US

IV. Provider business mailing address

CARRETERA 154 KM 2.8, LOT 8 SECTOR RIO JUEYES
COAMO PR
00769
US

V. Phone/Fax

Practice location:
  • Phone: 813-385-8831
  • Fax:
Mailing address:
  • Phone: 813-385-8831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number9704
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: