Basic Information
Provider Information
NPI: 1427009950
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANQUI PAGAN
FirstName: SANDRA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: URB LA ANTIGUA 17 VIA MAYORCA
Address2:  
City: TRUJILLO ALTO
State: PR
PostalCode: 009766101
CountryCode: US
TelephoneNumber: 7875792506
FaxNumber:  
Practice Location
Address1: HOSPITAL SAN JUAN CAPESTRANO
Address2: URB LAS LOMAS CARR. 877 KM 1.6
City: SAN JUAN
State: PR
PostalCode: 00926
CountryCode: US
TelephoneNumber: 7876252900
FaxNumber: 7877610613
Other Information
ProviderEnumerationDate: 05/12/2006
LastUpdateDate: 01/03/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X010889PRY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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