Healthcare Provider Details

I. General information

NPI: 1922516467
Provider Name (Legal Business Name): MONROIG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2018
Last Update Date: 04/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OFICINA MEDICA MR AVE FONT MARTELO #303
HUMACAO PR
00791
US

IV. Provider business mailing address

PO BOX 688
NAGUABO PR
00718-0688
US

V. Phone/Fax

Practice location:
  • Phone: 787-931-7555
  • Fax: 407-386-7022
Mailing address:
  • Phone: 787-931-7555
  • Fax: 407-386-7022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: FRANCISCO JAVIER MONROIG
Title or Position: DOCTOR
Credential: MD LIC #14490
Phone: 787-931-7555