Organization Name: | DR. FRANCISCO J BLANES MAYANS CSP |
NPI Number: | 1184098360 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCISCO JOSE BLANES MAYANS (PRESIDENT) |
Mailing Address: | 202 Calle Julio Cintron Edificio Guayacan Suite 218 Aibonito |
State: | PR US |
Postal Code: | 00705 |
Phone Number: | 7876158780 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2015 |
NPI Last Update Date: | 11/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0800X |
License Number: | 12873 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Endoscopy |
Taxonomy Definition: |