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General NPI Number Information
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NPI Number | 1851446488
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Entity Type | Individual
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Provider Name | JOSE L. FRANCO MAL DMD
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Gender | Male
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 104 CALLE REINA
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City | PONCE
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State | PR
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Zip | 00730-3683
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Country | US
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Telephone | 787-842-0366
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Fax | 787-840-0475
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Provider Business Mailing Address
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Address Line | PO BOX 7531
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City | PONCE
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State | PR
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Zip | 00732-7531
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Country | US
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Telephone | 787-922-7453
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Fax | 787-840-0475
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1102
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License Number State | PR
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