Provider Demographics
NPI:1124003983
Name:BARAONA, FRANCISCO JOSE (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:JOSE
Last Name:BARAONA
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 1:6800 E MAYO BLVD APT 7212
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-5643
Mailing Address - Country:US
Mailing Address - Phone:305-561-9041
Mailing Address - Fax:
Practice Address - Street 1:6800 E MAYO BLVD APT 7212
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-5643
Practice Address - Country:US
Practice Address - Phone:305-561-9041
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ46952207RP1001X, 207RP1001X
FLME0074642207RP1001X
TNMD45259207RP1001X
WAMD60549079207RP1001X
MI4301111236207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ827667Medicaid
AZ46952OtherLICENSE
WAP01696170OtherRR MEDICARE WVH
FL286061OtherHEALTHEASE
FLK0918Medicare ID - Type UnspecifiedGROUP
FLG73272Medicare UPIN
FL255941200Medicaid
TN3373630Medicare PIN
FL43885OtherBCBS PPC