Provider Demographics
NPI:1093162737
Name:BURGADO, FRANCIS M
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:M
Last Name:BURGADO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:FRANCIS
Other - Middle Name:MARIE
Other - Last Name:BURGADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:URB. LA CONCEPCION CALLE ATOCHA 122
Mailing Address - Street 2:URB. LA CONCEPCION CALLE ATOCHA B-6
Mailing Address - City:GUAYANILLA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00656
Mailing Address - Country:UM
Mailing Address - Phone:939-217-1881
Mailing Address - Fax:
Practice Address - Street 1:URB. LA CONCEPCION CALLE ATOCHA 122
Practice Address - Street 2:URB. LA CONCEPCION CALLE ATOCHA B-6
Practice Address - City:GUAYANILLA
Practice Address - State:PUERTO RICO
Practice Address - Zip Code:00656
Practice Address - Country:UM
Practice Address - Phone:939-217-1881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
12750104100000X
PR127501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker