MEDICARE: DR. FRANCISCO JOSE AMADOR 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	2084P0800X	Psychiatry Physician	12959	PR

General Provider Information

NPI Number	:	1790762334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO JOSE AMADOR MD

Provider Business Mailing Address
First Line	:	902 AVE PONCE DE LEON
Second Line	:	MIRAMAR EMBASSY APT.1006
City	:	SAN JUAN
State	:	PR
Zip	:	00907-3367
Country	:	US
Telephone Number	:	787-413-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	435 AVE HOSTOS
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-3014
Country	:	US
Telephone Number	:	787-753-9515
Fax Number	:

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

Provider Enumeration Date	:	12/26/2005
Last Update Date	:	02/06/2015

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