Healthcare Provider Details
I. General information
NPI: 1164483228
Provider Name (Legal Business Name): FRANCISCO JAVIER DEL RIO FERRER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/29/2006
Last Update Date: 05/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 CALLE DEL CARMEN
MOROVIS PR
00687-3062
US
IV. Provider business mailing address
PO BOX 602
MOROVIS PR
00687
US
V. Phone/Fax
- Phone: 787-862-0415
- Fax: 787-862-5315
- Phone: 787-862-0415
- Fax: 787-862-5315
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 10001 |
| License Number State | PR |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | 10001 |
| License Number State | PR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: