Healthcare Provider Details

I. General information

NPI: 1558747618
Provider Name (Legal Business Name): FRANCIS DANIEL BEAUCHAMP-PEREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: FRANCIS D BEAUCHAMP PEREZ MD

II. Dates (important events)

Enumeration Date: 07/30/2015
Last Update Date: 03/22/2023
Certification Date: 03/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 AVE JUAN PONCE DE LEON SUITE 205
SAN JUAN PR
00909
US

IV. Provider business mailing address

405 JUAN B RODRIGUEZ APT 801-1
SAN JUAN PR
00918-0000
US

V. Phone/Fax

Practice location:
  • Phone: 787-366-3223
  • Fax:
Mailing address:
  • Phone: 787-366-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number22694
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: