MEDICARE: FRANCISCO MARIA FUENTES MILLAN PA

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	363AM0700X	Medical Physician Assistant	001424-P.A.	PR

General Provider Information

NPI Number	:	1932053972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO MARIA FUENTES MILLAN PA

Provider Business Mailing Address
First Line	:	URB. CERRO REAL 17 CALLE M
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	787-934-6859
Fax Number	:

Provider Business Practice Location Address
First Line	:	URB. CERRO REAL 17 CALLE M
Second Line	:
City	:	GUAYNABO
State	:	PR
Zip	:	00969
Country	:	US
Telephone Number	:	787-934-6859
Fax Number	:

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

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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