Provider Demographics
NPI:1073674271
Name:CEBOLLERO, FRANCISCO CARLOS (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:CARLOS
Last Name:CEBOLLERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 E., DE DIEGO ST., C.P.R. PROFESSIONAL BLDG.
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680
Mailing Address - Country:US
Mailing Address - Phone:787-265-4250
Mailing Address - Fax:787-265-4290
Practice Address - Street 1:55 E., DE DIEGO ST., C.P.R. PROFESSIONAL BLDG.
Practice Address - Street 2:SUITE 104
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-265-4250
Practice Address - Fax:787-265-4290
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR12853207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRCQ534ZMedicare PIN
PR0089618Medicare ID - Type Unspecified
PRFC167109Medicare UPIN