Basic Information
| Provider Information | |||||||||
| NPI: | 1083658769 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SANMIGUEL | ||||||||
| FirstName: | FRANCISCO | ||||||||
| MiddleName: | LUIS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | J.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | WILLIAM BEAUMONT ARMY MEDICAL CENTER | ||||||||
| Address2: | 5005 N. PIEDRAS ST., ATTN: CREDENTIALS | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799205001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155692107 | ||||||||
| FaxNumber: | 9155691233 | ||||||||
| Practice Location | |||||||||
| Address1: | WILLIAM BEAUMONT ARMY MEDICAL CENTER | ||||||||
| Address2: | 5005 N. PIEDRAS ST., ATTN: CREDENTIALS | ||||||||
| City: | EL PASO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 799205001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9155692107 | ||||||||
| FaxNumber: | 9155691233 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171000000X | 23469 | NE | Y | Other Service Providers | Military Health Care Provider |
No ID Information.