Healthcare Provider Details

I. General information

NPI: 1366558355
Provider Name (Legal Business Name): FRANZ ANDREW HEFFELFINGER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1609 CALLE ORINOCO EL PARAISO
SAN JUAN PR
00926-3140
US

IV. Provider business mailing address

1609 CALLE ORINOCO EL PARAISO
SAN JUAN PR
00926-3140
US

V. Phone/Fax

Practice location:
  • Phone: 787-764-5857
  • Fax:
Mailing address:
  • Phone: 787-764-5857
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number16612
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: