Provider Demographics
NPI:1093852576
Name:PLUGUEZ FELICIANO, FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:FRANKLIN
Middle Name:
Last Name:PLUGUEZ FELICIANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 444
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0444
Mailing Address - Country:US
Mailing Address - Phone:787-832-4745
Mailing Address - Fax:787-832-4745
Practice Address - Street 1:55 CALLE DE DIEGO
Practice Address - Street 2:CPR BUILDING SUITE 101
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-5079
Practice Address - Country:US
Practice Address - Phone:787-832-4745
Practice Address - Fax:787-832-4745
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8602207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR82342Medicare ID - Type Unspecified
PRE74786Medicare UPIN