Healthcare Provider Details

I. General information

NPI: 1629040761
Provider Name (Legal Business Name): CARLOS M FRANCO-MOLINI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE H L ALVARADO 513A
HATO REY PR
00918
US

IV. Provider business mailing address

CHILE 253 CONDOMINIO CADIZ APT 6-D
SAN JUAN PR
00917
US

V. Phone/Fax

Practice location:
  • Phone: 787-756-6120
  • Fax:
Mailing address:
  • Phone: 787-753-0087
  • Fax: 787-754-9157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number3909
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: