Basic Information
Provider Information
NPI: 1669522835
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORALES - FRANQUI
FirstName: MYRNA
MiddleName: I
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: ANESTESIOLOGIA RCM
Address2: PO BOX 29134
City: SAN JUAN
State: PR
PostalCode: 009290134
CountryCode: US
TelephoneNumber: 7877580640
FaxNumber: 7877581327
Practice Location
Address1: ANESTESIOLOGIA EDIF. PRINCIPAL RCMA-989
Address2: CENTRO MEDICO DE PUERTO RICO, BO. MONACILLOS
City: SAN JUAN
State: PR
PostalCode: 00935
CountryCode: US
TelephoneNumber: 7877580640
FaxNumber: 7877581327
Other Information
ProviderEnumerationDate: 01/11/2007
LastUpdateDate: 04/17/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X12506PRY Allopathic & Osteopathic PhysiciansAnesthesiology 
207LC0200X12506PRN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine

No ID Information.


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