Provider Demographics
NPI:1093042764
Name:ARRIETA PONTE, FRANCISCO RAFAEL (DC)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:RAFAEL
Last Name:ARRIETA PONTE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10-23 CALLE 3
Mailing Address - Street 2:URBANIZACION SANTA ROSA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-6612
Mailing Address - Country:US
Mailing Address - Phone:787-244-4671
Mailing Address - Fax:
Practice Address - Street 1:J13 CALLE 2
Practice Address - Street 2:EXTENSION HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5068
Practice Address - Country:US
Practice Address - Phone:787-294-5793
Practice Address - Fax:787-294-5792
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-17
Last Update Date:2010-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor