Provider Demographics
NPI:1730275520
Name:PLA MENDEZ, FRANCISCO
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:PLA MENDEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PMB 123 MAILBOX SET C 35
Mailing Address - Street 2:JUAN CARLOS DE BARBON SUITE 67
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5315
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:PMB 123 MAILBOX SET C 35
Practice Address - Street 2:JUAN CARLOS DE BARBON SUITE 67
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5315
Practice Address - Country:US
Practice Address - Phone:787-510-1588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12678208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0098767Medicare ID - Type Unspecified