Provider Demographics
NPI:1063471480
Name:GREGORY, FRANK A (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:GREGORY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 77
Mailing Address - Street 2:
Mailing Address - City:LUQUILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00773-0077
Mailing Address - Country:US
Mailing Address - Phone:939-415-0024
Mailing Address - Fax:787-534-8385
Practice Address - Street 1:171 CALLE CPL FELICIANO RIVERA
Practice Address - Street 2:
Practice Address - City:LUQUILLO
Practice Address - State:PR
Practice Address - Zip Code:00773-2147
Practice Address - Country:US
Practice Address - Phone:939-415-0024
Practice Address - Fax:787-534-8385
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR14843208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice