Healthcare Provider Details

I. General information

NPI: 1861218513
Provider Name (Legal Business Name): FRANCISCO FERNANDEZ LOMBARD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2024
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 CALLE ESPANA
SAN JUAN PR
00911-1432
US

IV. Provider business mailing address

2001 CALLE ESPANA
SAN JUAN PR
00911-1432
US

V. Phone/Fax

Practice location:
  • Phone: 787-362-7496
  • Fax:
Mailing address:
  • Phone: 787-362-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number002068
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: