Healthcare Provider Details

I. General information

NPI: 1285309443
Provider Name (Legal Business Name): FRANCHESKA M PINTADO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2021
Last Update Date: 08/16/2021
Certification Date: 08/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4015 CALLE CRISTINA
PONCE PR
00730
US

IV. Provider business mailing address

URB. EL ROSARIO 123 CALLE 6
YAUCO PR
00698-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-8624
  • Fax:
Mailing address:
  • Phone: 787-543-2776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number000306-P.A.
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: