MEDICARE: DR. FRANCISCO JOSE DEL OLMO ARROYO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	18455	PR
2	207RP1001X	Pulmonary Disease Physician	18455	PR
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	18455	PR
4	208M00000X	Hospitalist Physician	18455	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1275763195	OTHER	PR	NPI

General Provider Information

NPI Number	:	1275763195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO JOSE DEL OLMO ARROYO MD

Provider Business Mailing Address
First Line	:	1476 AVE SAN IGNACIO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-4739
Country	:	US
Telephone Number	:	787-296-1647
Fax Number	:

Provider Business Practice Location Address
First Line	:	1476 AVE SAN IGNACIO
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-4739
Country	:	US
Telephone Number	:	787-296-1647
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2009
Last Update Date	:	11/17/2016

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