MEDICARE: DR. FRANCISCO GUEVARA D.M.D.

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	122300000X	Dentist	1407	PR

General Provider Information

NPI Number	:	1306880521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO GUEVARA D.M.D.

Provider Business Mailing Address
First Line	:	PO BOX 784
Second Line	:
City	:	SAN ANTONIO
State	:	PR
Zip	:	00690-0784
Country	:	US
Telephone Number	:	787-890-4106
Fax Number	:	787-890-5892

Provider Business Practice Location Address
First Line	:	GENERAL RAMEY #22
Second Line	:
City	:	SAN ANTONIO
State	:	PR
Zip	:	00690
Country	:	US
Telephone Number	:	787-890-4106
Fax Number	:

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	09/19/2013

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